DR. MARY FOWAAH BOATENG DNP, FNP
NPI 1205343498
Nurse Practitioner - Family in Gaithersburg, MD

Active since January 09, 2018PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
800 S FREDERICK AVE STE 208, GAITHERSBURG, MD 20877(301) 679-5770(301) 235-1520 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2018, Jan 9, 2018 (2 updates tracked since 2018).

About Dr. Mary Fowaah Boateng Dnp, Fnp NPPES

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

DR. MARY FOWAAH BOATENG DNP, FNP (NPI 1205343498) is an individual family provider in Gaithersburg, Maryland, licensed in Maryland (R214992) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205343498
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. MARY FOWAAH BOATENGCredential: DNP, FNP
Location Address800 S FREDERICK AVE STE 208Gaithersburg, MD 20877-4152
Mailing Address800 S Frederick Ave Ste 208Gaithersburg, MD 20877-4152 · (301) 679-5770 · Fax (301) 235-1520
Fax(301) 235-1520
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 9, 2018
Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1205343498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R214992
800 S FREDERICK AVE STE 208, Gaithersburg, MD 20877

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

Dr. Mary Fowaah Boateng Dnp, Fnp 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.

PECOS PAC ID547510877
PECOS Enrollment IDI20180907002230
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Boateng reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
800 S FREDERICK AVE STE 208
Gaithersburg, MD 20877
  • Reassigned Medicare billing, District of Columbia enrollment
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 168 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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20877 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.

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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES

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

Clinic/Center (Multi-Specialty)
800 S FREDERICK AVE STE 208
GAITHERSBURG, MD 20877

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 Mary Boateng's NPI number?

The NPI number for Mary Boateng is 1205343498. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Mary Boateng located?

Mary Boateng practices at 800 S Frederick Ave Ste 208, Gaithersburg, MD 20877. The listed phone number is (301) 679-5770.

What is Mary Boateng's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Boateng enrolled in Medicare?

Yes. Mary Boateng 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 Mary Boateng's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Boateng reassigns Medicare benefits to 2 organizations: Act Health Integrated Services, LLC (Gaithersburg, MD) and Minuteclinic LLC (Rockville, 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 Mary Boateng'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 Mary Boateng was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.