Individual provider Active NPI

Winifred Frinue Fundoh

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1790043198
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R212930 Issued in MD
Practice address
2601 Riva Rd
Annapolis, MD 21401-7304
Phone
(410) 571-2090
NPI assigned
Apr 24, 2012
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022066987 MD
Family Nurse Practitioner 363LF0000X R212930 MD Primary

Addresses

Primary practice location

2601 Riva Rd
Annapolis, MD 21401-7304

Mailing address

2601 Riva Rd
Annapolis, MD 21401-7304
Phone (410) 571-2090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20230527000123 DC Practitioner - Nurse Practitioner 0749647287 Reassigns benefits to 2 organizations
I20230530000327 MD Practitioner - Nurse Practitioner 0749647287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians

Practice addresses (Care Compare)

105 Time SQ
Salisbury, MD 21801-2808
Phone (410) 749-2474

9211 Stuart LN
Clinton, MD 20735-2712
Phone (301) 868-3600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022066987MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Jun 3, 2025 Accepting new patients
CNP Operating Co LLC CurrentSince Jun 3, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

100 Laurel Dr
Elkton, MD 21921
Phone (410) 398-8800

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1790043198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017304",
            "telephone_number": "410-571-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017304",
            "telephone_number": "410-571-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDOH",
        "first_name": "WINIFRED",
        "middle_name": "FRINUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2022066987",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R212930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.