Yvonne Tshibombi Tubene, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R191621 Issued in MD

Practice address

28 Magothy Beach Rd
Pasadena, MD 21122-4428

Phone

(410) 437-6450

NPI assigned

Mar 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hollis Seunarine Mdpa LLCGroup PAC ID 4183608573, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.37 of 100Reported as group

Quality

74

Improvement activities

40

Cost

72.24

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Hollis Seunarine Mdpa LLC

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1891726378
  Medicare reassignment Care Compare group NPD
• Trinity Familycare and Express Healthcare LLC

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1477373298
  Medicare reassignment NPD Authorized official
• AMC Healthcare Hydration

  • Health Service Clinic/Center
  • Lanham, MD
  • NPI 1457118788
  NPD (past)
• Park Heights Medical Clinic LLC

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1639101462
  NPD (past)

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1710572201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MALL RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616365",
            "telephone_number": "443-939-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MAGOTHY BEACH RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224428",
            "telephone_number": "410-437-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210616365",
            "country_code": "US",
            "telephone_number": "443-939-8488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUBENE",
        "first_name": "YVONNE",
        "middle_name": "TSHIBOMBI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2022-08-12",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R191621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "363LF0000X",
            "affiliation": "N",
            "endpointDescription": "363LF0000X",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "45 CFR  160.103",
            "address_1": "28 Magothy Beach Rd",
            "city": "Pasadena",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211224428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.