Individual provider Active NPI

Billirt Zeeh Ambe, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Martinsburg, WV
National Provider Identifier
1790049419
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC005171 Issued in MD
Practice address
191 Sheerer Dr
Martinsburg, WV 25404-7735
Phone
(443) 409-7819
NPI assigned
Jun 27, 2012
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 115077 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC005171 MD Primary
Home Health Aide 374U00000X

Addresses

Primary practice location

191 Sheerer Dr
Martinsburg, WV 25404-7735

Mailing address

191 Sheerer Dr
Martinsburg, WV 25404-7735
Phone (443) 409-7819

Other identifiers 1

IdentifierTypeStateIssuer
AC005171OtherMDMARYLAND BOARD OF NURSING.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 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
I20230506000110 MD Practitioner - Nurse Practitioner 1951766450 Reassigns benefits to 1 organization
I20230629002271 WV Practitioner - Nurse Practitioner 1951766450 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

99 Tavern Rd
Martinsburg, WV 25401-2890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115077WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Valley Medical System, Inc. CurrentSince Jun 5, 2023 Accepting new patients
Shenandoah Valley Medical System, Inc. CurrentSince Jun 5, 2023 Accepting new patients
Arise & Shine Health Center LLC CurrentSince Jun 11, 2023 Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients

Locations

7452 Baltimore Annapolis Blvd
#200
Glen Burnie, MD 21061
Phone (443) 374-5044

106 Sand Mine Rd
Ste 7
Berkeley Springs, WV 25411
Phone 30426349991063

44 Trifecta Pl
Ste 205
Charles Town, WV 25414
Phone 30426349991063

99 Tavern Rd
Martinsburg, WV 25401
Phone (304) 263-7023

Interoperability endpoints

  • Direct secure messaging: billirt.ambe.1@32629.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1790049419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SHEERER DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254047735",
            "telephone_number": "443-409-7819",
            "fax_number": "202-545-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SHEERER DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254047735",
            "telephone_number": "443-409-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBE",
        "first_name": "BILLIRT",
        "middle_name": "ZEEH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "115077",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC005171",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF NURSING.",
            "identifier": "AC005171",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.