Individual provider Active NPI

Sumati Patrick, CRNP

  • Adult Health Clinical Nurse Specialist
  • Greenbelt, MD
National Provider Identifier
1972038156
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
R188892 Issued in MD
Practice address
8751 Greenbelt Rd Ste 102
Greenbelt, MD 20770-2450
Phone
(301) 263-3845
Fax
(301) 263-3569
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R188892 MD
Adult Health Clinical Nurse Specialist 364SA2200X R188892 MD Primary

Addresses

Primary practice location

8751 Greenbelt Rd Ste 102
Greenbelt, MD 20770-2450

Mailing address

13730 Dunbar Ter
Germantown, MD 20874-4419
Phone (301) 323-5418

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240719000206 DC Practitioner - Nurse Practitioner 6002167335 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R188892MDMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted and Innovative Healthcare LLC Psychiatric/Mental Health CurrentSince Jun 28, 2024 Accepting new patients
Patricks Family Health Care Services LLC CurrentSince Mar 11, 2025 Accepting new patients
Physicians Medical Practice PA PastSince Jan 1, 2005 Accepting new patients

Locations

8751 Greenbelt Rd
Ste 102
Greenbelt, MD 20770
Phone (301) 263-3845

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1972038156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13730 DUNBAR TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744419",
            "telephone_number": "301-323-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 GREENBELT RD STE 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702450",
            "telephone_number": "301-263-3845",
            "fax_number": "301-263-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "SUMATI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R188892",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MD",
            "license": "R188892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.