Queen Bisola O Mumuney, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R175488 Issued in MD

Practice address

800 Alabaster CT
Capitol Heights, MD 20743-1872

Phone

(301) 442-5109

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sheppard Pratt Physicians PAGroup PAC ID 8224937610, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

Merit-based Incentive Payment System (MIPS)

Final score

66.41 of 100Reported as group

Quality

30.12

Promoting interoperability

80

Improvement activities

40

Cost

57.93

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sheppard Pratt Physicians, P.a.

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1518990712
  Medicare reassignment Care Compare group NPD
• Axis Healthcare Group

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1326295098

  DC

  Medicare reassignment NPD
• Premier Health Care, LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1285017822

  DC

  Medicare reassignment NPD
• Dgenesis

  • Clinic/Center
  • Owings, MD
  • NPI 1326714361
  NPD
• Premier Health Care LLC

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1528538758
  NPD
• MCS, PC

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1538717723

  Psychiatric/Mental Health

  NPD (past)
• Premier Health Care LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1871962548
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calverthealth Medical Center, Inc.

  • General Acute Care Hospital
  • Prince Frederick, MD
  • NPI 1457389298
  Care Compare affiliation

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1700341856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 SCAGGS RD",
            "city": "OWINGS",
            "state": "MD",
            "postal_code": "207364208",
            "telephone_number": "301-442-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ALABASTER CT",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431872",
            "telephone_number": "301-442-5109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7503 Surratts Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207353358",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMUNEY",
        "first_name": "QUEEN BISOLA",
        "middle_name": "O",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R175488",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R175488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Middleton
• Angela Minaya
• Monicpat Healthcare, Inc.
• Montinique Morgan
• Harold Morning, SURGICAL ASSISTANT
• Samuel Wandiga Munji
• Chantal Anyen Munjong
• Elvis Cheo Munjong
• Alice Murphy
• Iliana Eunice Navarro Recinos, RD, LDN

• Psychiatric/Mental Health Nurse Practitioner in Capitol Heights, MD
• Providers in Capitol Heights, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.