DR. MIRANDA BESSEM MBUTAMBE CRNP PMHNP DNP
NPI 1376801118
Nurse Practitioner - Psychiatric/Mental Health in Clinton, MD

Q: What is Miranda Mbutambe's NPI number?

The NPI number for Miranda Mbutambe is 1376801118. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Q: What is Miranda Mbutambe'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 Miranda Mbutambe was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 30, 2012PECOS EnrolledAccepts Medicare Assignment

7700 OLD BRANCH AVE STE B201, CLINTON, MD 20735(301) 289-7722(301) 441-2518 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2025, Jul 18, 2023, Jan 14, 2019 and 2 more (5 updates tracked since 2018).

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About Dr. Miranda Bessem Mbutambe Crnp Pmhnp Dnp NPPES

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

DR. MIRANDA BESSEM MBUTAMBE CRNP PMHNP DNP (NPI 1376801118) is an individual psychiatric/mental health provider in Clinton, Maryland, licensed in District Of Columbia (NP1035293) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376801118

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. MIRANDA BESSEM MBUTAMBECredential: CRNP PMHNP DNP

Location Address7700 OLD BRANCH AVE STE B201Clinton, MD 20735-1605

Mailing Address7700 Old Branch Ave Ste B201Clinton, MD 20735-1605 · (202) 367-3927

Phone(301) 289-7722

Fax(301) 441-2518

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 30, 2012

Last NPPES UpdateNovember 13, 20255 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1376801118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LP0808X

Licenses✔ Licensed in DC · NP1035293✔ Licensed in MD · R233930

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R233930 (MD)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License NP1035293 (DC)

7700 OLD BRANCH AVE STE B201, Clinton, MD 20735

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Secondary Practice Location 1

Location 17603 Georgia Ave NW Ste 101Washington, DC 20012-1617 · Phone (202) 726-1259 · Fax (202) 618-6201

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Dr. Miranda Bessem Mbutambe Crnp Pmhnp Dnp 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 ID1759643240

PECOS Enrollment IDI20190117002820

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 2

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.

53 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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 5

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

CITYWORLD FAMILY PRACTICE LLC

Clinic/Center