Individual provider Active NPI

Marian Nso Mbi, NP

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1972934933
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R194096 Issued in MD
Practice address
15017 Northcote LN
Bowie, MD 20716-1044
Phone
(240) 486-7304
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R194096 MD Primary

Addresses

Primary practice location

15017 Northcote LN
Bowie, MD 20716-1044

Mailing address

15017 Northcote LN
Bowie, MD 20716-1044
Phone (240) 486-7304

Other identifiers 1

IdentifierTypeStateIssuer
RN194096OtherMDREGISTERED NURSE

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
I20190402001727 DC Practitioner - Nurse Practitioner 5092056994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15017 Northcote LN
Bowie, MD 20716-1044
Phone (240) 486-1915

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Healthcare Services Family CurrentSince Dec 1, 2020 Accepting new patients
Juniper Healthcare LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

9055 Chevrolet Dr
Ste 103
Ellicott City, MD 21042
Phone (443) 355-6290

12021 Livingston Rd
Ft Washington, MD 20744
Phone (301) 292-0300

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1972934933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15017 NORTHCOTE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161044",
            "telephone_number": "240-486-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15017 NORTHCOTE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161044",
            "telephone_number": "240-486-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBI",
        "first_name": "MARIAN",
        "middle_name": "NSO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN194096",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.