Prudence Ashie Mancho, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2011002215 Issued in MD

Practice address

14221 Northgate Dr
Silver Spring, MD 20906-2225

Phone

(301) 807-6957

NPI assigned

Dec 5, 2011

Last updated

Sep 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

J Richard Lilly MD Abfp CHTDGroup PAC ID 6103896386, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.33 of 100Reported as group

Quality

82.98

Improvement activities

40

Cost

87.1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J Richard Lilly MD Shaaron R Towns MD and Associates PC

  • General Practice Physician
  • Hyattsville, MD
  • NPI 1336135821

  DC

  Medicare reassignment Care Compare group NPD
• Wellness Health Services, LLC

  dba The Ark of DC

  • Home Health Agency
  • Washington, DC
  • NPI 1033685953
  Medicare reassignment NPD
• Del-Mah Medical & Psychiatric Services LLC

  • Family Nurse Practitioner
  • Silver Spring, MD
  • NPI 1104594639
  Authorized official Same address or phone
• Mercy Urgent Care Clinic LLC

  • Family Nurse Practitioner
  • Silver Spring, MD
  • NPI 1528318896
  NPD (past) Authorized official

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1891063822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 ENGLISH TURN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047341",
            "telephone_number": "301-807-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 NORTHGATE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062225",
            "telephone_number": "301-807-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHO",
        "first_name": "PRUDENCE",
        "middle_name": "ASHIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R-149483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2011002215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE REGISTER  NURSE",
            "identifier": "R-149483",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jules Henry Mananga
• Cherlexia Nakeisha Manarino, ARPN
• Misgana Manaye
• Gishawn A Mance, PH.D.
• Manchester Medical LLC
• Srinivas Mandava, M.D.
• Emanuel Mandel, LCSWC
• Mandele Therapeutic Solutions LLC
• Robertine Manefo
• Mark Steven Maneval, RPH

• Family Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, 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 Sep 12, 2012; 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.