Individual provider Active NPI

Mizhgan Rasoul, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dover, DE
National Provider Identifier
1780472142
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010823 Issued in DE
Practice address
8 The GRN # 8427
Dover, DE 19901-3618
Phone
(302) 729-3255
NPI assigned
Apr 28, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010823 DE Primary

Addresses

Primary practice location

8 The GRN # 8427
Dover, DE 19901-3618

Mailing address

8 The GRN # 8427
Dover, DE 19901-3618
Phone (302) 729-3255

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260204000636 MD Practitioner - Nurse Practitioner 4880172436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capricorn Health LLCGroup PAC ID 4486064441, 3 clinicians

Practice addresses (Care Compare)

101 Chesapeake Blvd
Suite B
Elkton, MD 21921-6607
Phone (410) 398-3445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0010823DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capricorn Health LLC CurrentSince Dec 1, 2025 Accepting new patients
Capricorn Health LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

101 Chesapeake Blvd
Ste B
Elkton, MD 21921
Phone (443) 303-8987

406 Eastern Blvd
Essex, MD 21221
Phone (410) 687-4800

2327 Pulaski Hwy
Ste 103
North East, MD 21901
Phone (443) 877-6648

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.

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1780472142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 THE GRN # 8427",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "302-729-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 THE GRN # 8427",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "302-729-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOUL",
        "first_name": "MIZHGAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.