Individual provider Active NPI

Geraldine Ambe Ambahe, CRNP

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1700272853
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R120346 Issued in MD
Practice address
9002 Wipkey CT
Bowie, MD 20720-3232
Phone
(301) 630-3900
NPI assigned
Apr 15, 2015
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R120346 MD Primary
Family Nurse Practitioner 363LF0000X CRNP120346 MD

Addresses

Primary practice location

9002 Wipkey CT
Bowie, MD 20720-3232

Mailing address

9002 Wipkey CT
Bowie, MD 20720-3232
Phone (301) 613-8690

Other identifiers 2

IdentifierTypeStateIssuer
CRNP120346OtherMDMARYLAND BOARD OF NURSING
R120346OtherMDMARYLAND BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160901000943 MD Practitioner - Nurse Practitioner 6305132234 Reassigns benefits to 3 organizations
Practice locations: Lexington Park, MD
I20170112000025 DC Practitioner - Nurse Practitioner 6305132234 Reassigns benefits to 3 organizations
Practice locations: Bowie, MD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Health Care Services LLCGroup PAC ID 6204364169, 13 clinicians

Practice addresses (Care Compare)

1051 Brightseat Rd
Landover, MD 20785-3738
Phone (443) 868-7956

1314 Bedford Ave
Suite 113
Pikesville, MD 21208-3737
Phone (443) 868-7956

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CRNP120346MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. Current Accepting new patients
M Medical Group, Inc. CurrentSince Aug 20, 2021 Accepting new patients
Psychogeriatric Services LLC CurrentSince Oct 28, 2016 Accepting new patients
M Medical Group, Inc. CurrentSince Aug 20, 2021 Accepting new patients

Locations

5000 Nannie Helen Burroughs Ave NE
Washington, DC 20019
Phone (202) 399-4505

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

14200 Laurel Park Dr
Laurel, MD 20707
Phone (301) 953-7980

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

Interoperability endpoints

  • Direct secure messaging: geraldine.ambe.ambahe.1@14014.direct.athenahealth.com
  • Direct secure messaging: geraldine.ambeambahe.p2@direct.alegiscare.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/16183/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1700272853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 WIPKEY CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203232",
            "telephone_number": "301-613-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 WIPKEY CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203232",
            "telephone_number": "301-630-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBE AMBAHE",
        "first_name": "GERALDINE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R120346",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "CRNP120346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF NURSING",
            "identifier": "CRNP120346",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF NURSING",
            "identifier": "R120346",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.