Active NPI
Margaret Mumbi Wangombe
- Family Nurse Practitioner
- Salisbury, MD
National Provider Identifier
1720801947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R200752
- Practice address
- 105 Time SQ
Salisbury, MD 21801-2808 - Phone
- (443) 493-3209
- NPI assigned
- Nov 5, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R200752 | MD | Primary |
Addresses
Primary practice location
105 Time SQ
Salisbury, MD 21801-2808
Mailing address
6151 Strawberry Way
Salisbury, MD 21801-1790
Phone (443) 493-3209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PA Post Acute Services PC | Current | Accepting new patients | |
| CNP Operating Co LLC | Current | Accepting new patients |
Locations
2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100
105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Salisbury, MD
- NPI 1518386739
-
- General Practice Physician
- Masury, OH
- NPI 1255057063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1720801947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6151 STRAWBERRY WAY",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218011790",
"telephone_number": "443-493-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 TIME SQ",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218012808",
"telephone_number": "443-493-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANGOMBE",
"first_name": "MARGARET",
"middle_name": "MUMBI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R200752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.