Verra Sirri Mubele, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R195275 Issued in MD

Practice address

3849 Berleigh Hill CT
Burtonsville, MD 20866-1393

Phone

(240) 383-7246

NPI assigned

Jun 19, 2012

Reactivated

Dec 10, 2021

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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 PA, 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Ave Psychiatric Center IncGroup PAC ID 5991791162, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.2 of 100Reported as group

Quality

78.42

Improvement activities

40

Cost

70.24

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wisconsin Ave Psychiatric Center Inc

  dba Psychiatric Institute of Washington

  • Psychiatric Hospital
  • Washington, DC
  • NPI 1871549949

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Eastern Pennsylvania Physician Alliance LLC

  • Neurology Physician
  • Clarion, PA
  • NPI 1902440621
  Medicare reassignment NPD

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1720341233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 BERLEIGH HILL CT",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661393",
            "telephone_number": "240-384-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 BERLEIGH HILL CT",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661393",
            "telephone_number": "240-383-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUBELE",
        "first_name": "VERRA",
        "middle_name": "SIRRI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-14",
        "deactivation_date": "2021-11-23",
        "reactivation_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R195275",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "RN1023780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce R Miller, DDS
• Miracle Health Services LLC
• Fawziya Siddique Mirza, O.D.
• Linda Moore, RN-WCCM
• Kathleen Beth Mottern, RN
• Joseph Mugamba, M.S
• Serif Mumuney
• John Mwangi
• Hortance Mwelu Bukasa
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)

• Psychiatric/Mental Health Nurse Practitioner in Burtonsville, MD
• Providers in Burtonsville, 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 Dec 15, 2021; 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.