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SOUMYA MANNOOR PUNNOOSE PMHNP
NPI 1063376911
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Active since December 15, 2025PECOS Enrolled
196 THOMAS JOHNSON DR STE 230, FREDERICK, MD 21702(833) 444-4267 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Soumya Mannoor Punnoose Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUMYA MANNOOR PUNNOOSE PMHNP (NPI 1063376911) is an individual psychiatric/mental health provider in Frederick, Maryland, licensed in Maryland (R221507) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063376911
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSOUMYA MANNOOR PUNNOOSECredential: PMHNP
Location Address196 THOMAS JOHNSON DR STE 230Frederick, MD 21702-4524
Mailing Address196 Thomas Johnson Dr Ste 230Frederick, MD 21702-4524 · (833) 444-4267
Phone(833) 444-4267
Sole ProprietorYes
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1063376911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R221507
196 THOMAS JOHNSON DR STE 230, Frederick, MD 21702
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soumya Mannoor Punnoose Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soumya Mannoor Punnoose's NPI number?

The NPI number for Soumya Mannoor Punnoose is 1063376911. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Soumya Mannoor Punnoose located?

Soumya Mannoor Punnoose practices at 196 Thomas Johnson Dr Ste 230, Frederick, MD 21702. The listed phone number is (833) 444-4267.

What is Soumya Mannoor Punnoose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Soumya Mannoor Punnoose enrolled in Medicare?

Yes. Soumya Mannoor Punnoose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soumya Mannoor Punnoose was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.