NADINE CAROLE MISSIET FOGOUM CRNP
NPI 1093075731
Nurse Practitioner - Psychiatric/Mental Health in Laurel, MD
About Nadine Carole Missiet Fogoum Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NADINE CAROLE MISSIET FOGOUM CRNP (NPI 1093075731) is an individual psychiatric/mental health provider in Laurel, Maryland, licensed in Maryland (R205038) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Germantown Hospital, and maintains a secondary practice location in Silver Spring.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Nadine Carole Missiet Fogoum Crnp 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
2Medicare enrollment records show Nadine Carole Missiet Fogoum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 128 clinicians in this Medicare group
Lynchburg, VA 24504
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 143 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Germantown Hospital
Acute Care Hospitals · Germantown, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20724 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.
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 Nadine Carole Missiet Fogoum's NPI number?
The NPI number for Nadine Carole Missiet Fogoum is 1093075731. It was assigned to this individual provider in the NPPES registry on May 28, 2012.
Where is Nadine Carole Missiet Fogoum located?
Nadine Carole Missiet Fogoum practices at 8625 Savannah River Rd, Laurel, MD 20724. The listed phone number is (202) 459-8904.
What is Nadine Carole Missiet Fogoum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nadine Carole Missiet Fogoum enrolled in Medicare?
Yes. Nadine Carole Missiet Fogoum 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 Nadine Carole Missiet Fogoum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nadine Carole Missiet Fogoum reassigns Medicare benefits to 2 organizations: Axis Healthcare Group (Silver Spring, MD) and Thrive Counseling LLC (Lynchburg, VA). 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 Nadine Carole Missiet Fogoum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nadine Carole Missiet Fogoum affiliated with any hospitals?
According to CMS data, Nadine Carole Missiet Fogoum is affiliated with Holy Cross Germantown Hospital.
When was this NPI record last updated?
The NPPES record for Nadine Carole Missiet Fogoum was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Nadine Carole Missiet Fogoum, CRNP · NPI 1093075731
Psychiatric/Mental Health physician in Laurel, Maryland. Individual provider, active in the CMS NPPES registry since May 28, 2012.
## Identity
- **NPI:** 1093075731 (Entity type: Individual)
- **Enumerated:** May 28, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R205038 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 8625 SAVANNAH RIVER RD, Laurel, MD 20724-1956
- **Phone:** (202) 459-8904
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Axis Healthcare Group (NPI 1326295098, Silver Spring, MD); Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093075731) · Data from the CMS NPPES public registry.