Individual provider Active NPI

Mayra Alejandra Munoz, DNP, FNP-C

  • Family Nurse Practitioner
  • Olney, MD
National Provider Identifier
1730869827
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R225348 Issued in MD
Practice address
3411 Olandwood CT Ste 105
Olney, MD 20832-1488
Phone
(301) 774-5260
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R225348 MD Primary

Addresses

Primary practice location

3411 Olandwood CT Ste 105
Olney, MD 20832-1488

Mailing address

4300 Marionet St
Rockville, MD 20853-2739
Phone (405) 249-8424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20240927000040 DC Practitioner - Nurse Practitioner 3375074602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olney Medical Group, LLCGroup PAC ID 5294717385, 2 clinicians

Practice addresses (Care Compare)

3411 Olandwood CT
Suite 105
Olney, MD 20832-1488
Phone (301) 774-5260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olney Medical Group, LLC CurrentSince Jun 29, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3411 Olandwood Ct
Ste 105
Olney, MD 20832
Phone (301) 774-5260

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1730869827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARIONET ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532739",
            "telephone_number": "405-249-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 OLANDWOOD CT STE 105",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321488",
            "telephone_number": "301-774-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "MAYRA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R225348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.