Joseph Ernest Kisanga, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

PENDING Issued in DC

Practice address

4234 Lavender LN
Bowie, MD 20720-4291

Phone

(301) 717-2972

NPI assigned

Sep 28, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

78.79 of 100Reported as individual

Quality

100

Improvement activities

0

Cost

95.96

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.

• J Healthcare Services and Consultation

  • Family Nurse Practitioner
  • Bowie, MD
  • NPI 1104255744

  DC

  Medicare reassignment NPD Authorized official
• Grant Park SNF, LLC

  • Skilled Nursing Facility
  • Washington, DC
  • NPI 1952632069
  NPD (past)

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1831473628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 LAVENDER LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204291",
            "telephone_number": "301-717-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 LAVENDER LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204291",
            "telephone_number": "301-717-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISANGA",
        "first_name": "JOSEPH",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-28",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackline Kiplagat, FNP-C
• Lysa N Kirby, MED, LCPC
• Gretchen Kircher, LCPC, LCPAT, ATR-BC
• Matthew Masaji Kirkbride, M.D.
• Alexis Nicole Kirkland, DDS
• Eugenia Serwah Kissi, NP
• Donna Duryea Klem, P.T.
• Braden William Rochon Knott, DPT
• Madeleine Koblin
• Modest Awah Kodang

• Family Nurse Practitioner in Bowie, MD
• Providers in Bowie, 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 16, 2013; 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.