DR. BRENDA FOLEFAC FONJU DNP
NPI 1174102610
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD
About Dr. Brenda Folefac Fonju Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRENDA FOLEFAC FONJU DNP (NPI 1174102610) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R228896) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Brenda Folefac Fonju Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brenda Fonju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21204
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Sheppard Pratt Physicians PA
- 187 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 4
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 21204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21204
BALTIMORE, MD 21204
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 Brenda Fonju's NPI number?
The NPI number for Brenda Fonju is 1174102610. It was assigned to this individual provider in the NPPES registry on April 2, 2021.
Where is Brenda Fonju located?
Brenda Fonju practices at 6501 N Charles St, Baltimore, MD 21204. The listed phone number is (410) 938-3000.
What is Brenda Fonju's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Brenda Fonju enrolled in Medicare?
Yes. Brenda Fonju is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brenda Fonju's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Fonju reassigns Medicare benefits to Sheppard Pratt Physicians, P.A. (Baltimore, MD). The 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 Brenda Fonju'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 Brenda Fonju was last updated on December 9, 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.
# Dr. Brenda Folefac Fonju, DNP · NPI 1174102610
Psychiatric/Mental Health physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1174102610 (Entity type: Individual)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R228896 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6501 N CHARLES ST, Baltimore, MD 21204-6819
- **Phone:** (410) 938-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sheppard Pratt Physicians, P.A. (NPI 1518990712, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174102610) · Data from the CMS NPPES public registry.