MIRANDA FONTEM APRN
NPI 1215292784
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC
About Miranda Fontem Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRANDA FONTEM APRN (NPI 1215292784) is an individual psychiatric/mental health provider in Washington, District Of Columbia, licensed in Maryland (R194537) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Miranda Fontem Aprn 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
5Medicare enrollment records show Miranda Fontem reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bladensburg, MD 20710
- Reassigned Medicare billing, District of Columbia enrollment
- 7 clinicians in this Medicare group
Landover, MD 20785
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1801760293 (Maryland)
- 118 clinicians in this Medicare group
Columbia, MD 21044
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 200 clinicians in this Medicare group
Baltimore, MD 21205
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 132 clinicians in this Medicare group
Baltimore, MD 21205
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 104 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20020 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 20
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 Miranda Fontem's NPI number?
The NPI number for Miranda Fontem is 1215292784. It was assigned to this individual provider in the NPPES registry on July 10, 2012.
Where is Miranda Fontem located?
Miranda Fontem practices at 2811 Pennsylvania Ave SE, Washington, DC 20020. The listed phone number is (202) 894-6811.
What is Miranda Fontem's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Miranda Fontem enrolled in Medicare?
Yes. Miranda Fontem 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 Miranda Fontem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Fontem reassigns Medicare benefits to 5 organizations: Prestige Healthcare Resources Inc. (Bladensburg, MD), Integrahealth LLC (Landover, MD), Psychogeriatric Services LLC (Columbia, MD), Toller Enterprises LLC (Baltimore, MD) and Spiritual Healing (Baltimore, 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 Miranda Fontem'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 Miranda Fontem was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Miranda Fontem, APRN · NPI 1215292784
Psychiatric/Mental Health physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since July 10, 2012.
## Identity
- **NPI:** 1215292784 (Entity type: Individual)
- **Enumerated:** July 10, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R194537 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2811 PENNSYLVANIA AVE SE, Washington, DC 20020-3865
- **Phone:** (202) 894-6811
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Prestige Healthcare Resources Inc. (NPI 1144516824, Bladensburg, MD); Integrahealth LLC (NPI 1801760137, Landover, MD); Psychogeriatric Services LLC (NPI 1588689483, Columbia, MD); Toller Enterprises LLC (NPI 1821694084, Baltimore, MD); Spiritual Healing (NPI 1003502337, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215292784) · Data from the CMS NPPES public registry.