NICOLE QUEEN PMHNP
NPI 1073238846
Nurse Practitioner - Psychiatric/Mental Health in Parkville, MD
About Nicole Queen Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE QUEEN PMHNP (NPI 1073238846) is an individual psychiatric/mental health provider in Parkville, Maryland, licensed in Maryland (R200798) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Queen Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Nicole Queen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Parkville, MD 21234
- Reassigned Medicare billing, Maryland enrollment
Baltimore, MD 21214
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1740049568 (District of Columbia)
- 114 clinicians in this Medicare group
Baltimore, MD 21205
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 132 clinicians in this Medicare group
Baltimore, MD 21205
- Reassigned Medicare billing, Maryland enrollment
- 5 clinicians in this Medicare group
Laurel, MD 20708
- Reassigned Medicare billing, District of Columbia enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARKVILLE, MD 21234
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 Nicole Queen's NPI number?
The NPI number for Nicole Queen is 1073238846. It was assigned to this individual provider in the NPPES registry on October 5, 2022.
Where is Nicole Queen located?
Nicole Queen practices at 9506 Harford Rd, Parkville, MD 21234. The listed phone number is (443) 703-8345.
What is Nicole Queen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nicole Queen enrolled in Medicare?
Yes. Nicole Queen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicole Queen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Queen reassigns Medicare benefits to 5 organizations: A Blended Family Mental Health Services (Parkville, MD), Integrahealth LLC (Baltimore, MD), Toller Enterprises LLC (Baltimore, MD), Fitzgerald Primary Care LLC (Baltimore, MD) and Blue Sky Mental Health Clinic LLC (Laurel, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Queen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Queen was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Nicole Queen, PMHNP · NPI 1073238846
Psychiatric/Mental Health physician in Parkville, Maryland. Individual provider, active in the CMS NPPES registry since October 5, 2022.
## Identity
- **NPI:** 1073238846 (Entity type: Individual)
- **Enumerated:** October 5, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R200798 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 9506 HARFORD RD, Parkville, MD 21234-3113
- **Phone:** (443) 703-8345 · **Fax:** (410) 305-6221
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): A Blended Family Mental Health Services (NPI 1952156150, Parkville, MD); Integrahealth LLC (NPI 1164396552, Baltimore, MD); Toller Enterprises LLC (NPI 1821694084, Baltimore, MD); Fitzgerald Primary Care LLC (NPI 1033802848, Baltimore, MD); Blue Sky Mental Health Clinic LLC (NPI 1467372623, Laurel, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073238846) · Data from the CMS NPPES public registry.