Active NPI
Star Tangyie-Che Niba, NP
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R215105
- Practice address
- 10490 Little Patuxent Pkwy Ste 600
Columbia, MD 21044-4941 - Phone
- (240) 676-7213
- NPI assigned
- Jun 14, 2012
- Last updated
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R215105 | MD | Primary |
Addresses
Primary practice location
10490 Little Patuxent Pkwy Ste 600
Columbia, MD 21044-4941
Mailing address
1247 Apollo Dr
Frederick, MD 21702-1247
Phone (410) 699-9779
Other practice location 1
9030 Route 108 Ste A
Columbia, MD 21045-1990
Phone (410) 740-1901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 987384800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Arizona College of Medicine - Phoenix, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1925 Greenspring Dr
Timonium, MD 21093-4128
Phone (410) 938-5434
9030 State Route 108
Suite a
Columbia, MD 21045-1990
Phone (410) 740-1901
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.74 of 100
- Quality
- 50.53
- Promoting interoperability
- 55
- Improvement activities
- 40
- Cost
- 82.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Services, Inc. | Current | Accepting new patients | |
| Way Station, Inc. | Current | Accepting new patients | |
| Mosaic Community Services, Inc. | Current | Accepting new patients | |
| Sheppard Pratt Physicians, P.a. | Current | Accepting new patients | |
| Mosaic Community Services, Inc | Current | Accepting new patients | |
| Imperial Psychiatric Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Family Services, Inc | Current | Accepting new patients | |
| Capital Multi Health Group, Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Family Services, Inc. | Current | Accepting new patients | |
| Way Station Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| JD Nursing & Management Ser | Past | Accepting new patients |
Locations
2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360
100 E Patapsco Ave
Brooklyn, MD 21225
Phone (667) 231-0317
2411 Crofton Ln
Ste 4A
Crofton, MD 21114
Phone (667) 307-4173
210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263
610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000
328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
601 E Naylor Mill Rd
Unit F
Salisbury, MD 21804
Phone (410) 546-4659
1925 Greenspring Dr
Timonium, MD 21093
6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000
849 Fairmount Ave
Fl 5
Towson, MD 21286
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sheppard Pratt
- Adult Mental Health Clinic/Center
- Timonium, MD
- NPI 1265539142
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hagerstown, MD
- NPI 1124490784
-
- Psychiatric/Mental Health Nurse Practitioner
- Crofton, MD
- NPI 1821648312
-
- Psychiatric/Mental Health Nurse Practitioner
- Salisbury, MD
- NPI 1780184564
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1518990712
-
dba Aspire Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gaithersburg, MD
- NPI 1881218816
-
dba Sheppard Pratt
- Substance Use Disorder Rehabilitation Clinic/Center
- Gaithersburg, MD
- NPI 1710466313
-
dba Sheppard Pratt
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Frederick, MD
- NPI 1104570167
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Multi-Specialty Clinic/Center
- Columbia, MD
- NPI 1104914464
-
- Home Health Agency
- Washington, DC
- NPI 1811940513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1679835698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1247 APOLLO DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217021247",
"telephone_number": "410-699-9779",
"fax_number": "410-699-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10490 LITTLE PATUXENT PKWY STE 600",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210444941",
"telephone_number": "240-676-7213"
}
],
"practiceLocations": [
{
"address_1": "9030 Route 108 Ste A",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210451990",
"country_code": "US",
"telephone_number": "410-740-1901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANGYIE-CHE NIBA",
"first_name": "STAR",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R215105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "987384800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.