MR. BRENT DONMOYER PMHNP
NPI 1104352269
Nurse Practitioner - Psychiatric/Mental Health in Gaithersburg, MD

Q: What is Brent Donmoyer's NPI number?

The NPI number for Brent Donmoyer is 1104352269. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Brent Donmoyer's specialty?

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

Q: Is Brent Donmoyer enrolled in Medicare?

No. Brent Donmoyer has opted out of Medicare through October 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Brent Donmoyer was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since May 11, 2017Opted out of Medicare · through Oct 26, 2027

301 INSPIRATION LN, GAITHERSBURG, MD 20878(240) 252-3349(240) 477-5265 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, May 11, 2017 (2 updates tracked since 2017).

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About Mr. Brent Donmoyer Pmhnp NPPES

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

MR. BRENT DONMOYER PMHNP (NPI 1104352269) is an individual psychiatric/mental health provider in Gaithersburg, Maryland, licensed in Maryland (R155630) and active in the NPI registry since May 2017. He has opted out of Medicare through October 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104352269

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. BRENT DONMOYERCredential: PMHNP

Location Address301 INSPIRATION LNGaithersburg, MD 20878-5817

Mailing Address12315 Pissaro DrNorth Potomac, MD 20878-3478 · (301) 524-3782

Phone(240) 252-3349

Fax(240) 477-5265

Sole ProprietorYes

Enumeration DateMay 11, 2017

Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1104352269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R155630

Also ListedRegistered NurseTaxonomy 163W00000X · License RN526107L (PA)

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN526107L (PA)

301 INSPIRATION LN, Gaithersburg, MD 20878

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Brent Donmoyer Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 26, 2023 through October 26, 2027.

Opt-Out Effective DateOctober 26, 2023

Opt-Out In Effect ThroughOctober 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20878 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA L STUTZMAN

Psychologist (Counseling)