FIVE-STAR INTEGRATED HEALTH SERVICES, LLC
NPI 1124596606
Nurse Practitioner - Psychiatric/Mental Health in Annapolis, MD

Active since November 02, 2018
1125 WEST ST, ANNAPOLIS, MD 21401(667) 204-0614 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2020, Nov 2, 2018 (2 updates tracked since 2018).

About Five-star Integrated Health Services, Llc NPPES

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

FIVE-STAR INTEGRATED HEALTH SERVICES, LLC (NPI 1124596606) is a healthcare organization registered as a psychiatric/mental health in Annapolis, Maryland and active in the NPI registry since November 2018. The organization lists Tamia D Rollins-musgrave, Owner, as its authorized official.

NPPES Registry Identity

NPI1124596606
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFIVE-STAR INTEGRATED HEALTH SERVICES, LLC
Location Address1125 WEST STAnnapolis, MD 21401-3607
Mailing Address1125 West StAnnapolis, MD 21401-3607 · (667) 204-0614
Organization SubpartNo
Authorized OfficialTamia D Rollins-musgraveOwner · (443) 534-3652
Enumeration DateNovember 2, 2018
Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
✔ NPI 1124596606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1125 WEST ST, Annapolis, MD 21401

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Five-star Integrated Health Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Five-Star Integrated Health Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1881962322
1125 WEST ST STE 225
Annapolis, MD 21401
(667) 204-0614
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Five-Star Integrated Health Services, LLC's NPI number?

The NPI number for Five-Star Integrated Health Services, LLC is 1124596606. It was assigned to this organization in the NPPES registry on November 2, 2018.

Where is Five-Star Integrated Health Services, LLC located?

Five-Star Integrated Health Services, LLC is located at 1125 West St, Annapolis, MD 21401. The listed phone number is (667) 204-0614.

What is Five-Star Integrated Health Services, LLC's specialty?

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

Is Five-Star Integrated Health Services, LLC enrolled in Medicare?

Yes. Five-Star Integrated Health Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Five-Star Integrated Health Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Five-Star Integrated Health Services, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Five-Star Integrated Health Services, LLC was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.