Nicole Njijen Fuondjing I, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R216392 Issued in MD

Practice address

15245 Shady Grove Rd Ste 130
Rockville, MD 20850-6240

Phone

(240) 643-8300

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Nicole Njijen Nwafor I Former name

Medicare fee-for-service enrollment

Enrolled in MD, 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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Medical Group, Inc.Group PAC ID 7719278597, shared by 2 NPIs, 104 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.47 of 100Reported as group

Quality

77.19

Improvement activities

40

Cost

63.38

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.

• M Medical Group, Inc.

  • Internal Medicine Physician
  • Rising Sun, MD
  • NPI 1164238333
  Medicare reassignment NPD
• M Medical Group, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Clinton, MD
  • NPI 1780056168

  DC

  Medicare reassignment NPD
• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063

  DC, MD

  Medicare reassignment NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  DC

  Medicare reassignment
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1447076203
  NPD

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1750913380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 TRIBECA TRL",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241445",
            "telephone_number": "240-643-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 130",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506240",
            "telephone_number": "240-643-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUONDJING",
        "first_name": "NICOLE",
        "middle_name": "NJIJEN",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R216392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NWAFOR",
            "middle_name": "NJIJEN",
            "prefix": "MRS.",
            "suffix": "I",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Virginia Jean Fulton, NP
• Alexia Funchess
• Functional Physical Therapy, LLC
• Nyla Funderburk
• Harmony Fungchung
• Abbigail Furr
• Amy Furr, LCSW-C
• Ivan J Fuss, MD
• Kiana Morgan Fussner, PA-C
• Jill Fuster, M.S., R.D., L.D.N.

• Family Nurse Practitioner in Rockville, MD
• Providers in Rockville, 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 Dec 4, 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.