Lum Mercy Maximuangu, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0000123 Issued in DE

Practice address

11303 Amherst Ave
Silver Spring, MD 20902-4600

Phone

(240) 604-2949

Fax

(410) 609-5551

NPI assigned

Feb 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Spine and Pain Centers, PLLCGroup PAC ID 6709269327, 12 clinicians

Ideal Pain Management LLCGroup PAC ID 0446502835, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJFEDD/Endpoint/FJFEDD
• FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

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.

• Ideal Pain Management, LLC

  • Pain Clinic/Center
  • Towson, MD
  • NPI 1154802874
  Medicare reassignment Care Compare group NPD
• Advanced Spine and Pain Centers, PLLC

  • Interventional Pain Medicine Physician
  • Stafford, VA
  • NPI 1982318929

  MD

  Medicare reassignment Care Compare group NPD
• Maryland Medical First P.a.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1013005016
  Medicare reassignment NPD
• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Dundalk, MD
  • NPI 1104375294
  Medicare reassignment NPD
• Advanced Spine and Pain Centers, PLLC

  • Pain Medicine Physician
  • Baltimore, MD
  • NPI 1386438968
  NPD
• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1194217091
  NPD
• Matclinic Physicians Practice Group LLC

  • Addiction (Substance Use Disorder) Counselor
  • Dundalk, MD
  • NPI 1801448360
  NPD
• State of Delaware

  • Prison Health Clinic/Center
  • New Castle, DE
  • NPI 1114512068
  NPD (past)

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1942540083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11303 AMHERST AVE STE 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024600",
            "telephone_number": "240-604-2949",
            "fax_number": "410-609-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11303 AMHERST AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024600",
            "telephone_number": "240-604-2949",
            "fax_number": "410-609-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIMUANGU",
        "first_name": "LUM",
        "middle_name": "MERCY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "DE",
            "license": "0000123",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R150156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Charles Mauro, PHD., BCBA-D
• Elizabeth Halloran Maury, PH.D.
• Cheryl Mawo
• Maxcen Housing Society Maryland Branch Inc.
• Maximed Associates Inc.
• Maxmath Tutoring Online, Maryland Branch, Inc.
• Lynda Maxwell, PT
• Ellen Mayberry, RMP
• Steven Mayberry II, LMT
• Liberne Mayo

• Acute Care Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.