MOSUNMOLA SANDRA LAKE DNP, PMHNP-BC
NPI 1275050288
Nurse Practitioner - Psychiatric/Mental Health in Berwyn Heights, MD

Q: What is Mosunmola Lake's NPI number?

The NPI number for Mosunmola Lake is 1275050288. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Q: What is Mosunmola Lake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mosunmola Lake was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 29, 2017PECOS EnrolledAccepts Medicare Assignment

6215 GREENBELT RD STE 107, BERWYN HEIGHTS, MD 20740(301) 272-1558(301) 272-1559 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 24, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Mosunmola Sandra Lake Dnp, Pmhnp-bc NPPES

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

MOSUNMOLA SANDRA LAKE DNP, PMHNP-BC (NPI 1275050288) is an individual psychiatric/mental health provider in Berwyn Heights, Maryland, licensed in Maryland (R191756) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beltsville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275050288

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMOSUNMOLA SANDRA LAKECredential: DNP, PMHNP-BC

Location Address6215 GREENBELT RD STE 107Berwyn Heights, MD 20740-2355

Mailing Address10801 Green Ash LnBeltsville, MD 20705-3851 · (301) 263-4890

Phone(301) 272-1558

Fax(301) 272-1559

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 29, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2020

✔ NPI 1275050288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in MD · R191756

6215 GREENBELT RD STE 107, Berwyn Heights, MD 20740

Open in Google Maps ↗

Secondary Practice Location 1

Location 110801 Green Ash LnBeltsville, MD 20705-3851 · Phone (301) 263-4890

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mosunmola Sandra Lake Dnp, Pmhnp-bc 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 ID6901171172

PECOS Enrollment IDI20171014000190

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.

Areas of Expertise CMS Part B claims 8

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.

311 services64 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

254 services40 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

233 services47 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

222 services38 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

52 services49 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

45 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20740 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.

ABILITY HEALTHCARE SERVICES INCORPORATED

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities