MR. SUNNY BESONG DIFFANG CRNP
NPI 1407480817
Nurse Practitioner - Psychiatric/Mental Health in Randallstown, MD
About Mr. Sunny Besong Diffang Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SUNNY BESONG DIFFANG CRNP (NPI 1407480817) is an individual psychiatric/mental health provider in Randallstown, Maryland, licensed in Maryland (R202090) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Sunny Besong Diffang Crnp 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
2Medicare enrollment records show Sunny Diffang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Laurel, MD 20707
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1063837490 (Maryland)
- 336 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, Maryland enrollment
- 141 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 21133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Sunny Diffang's NPI number?
The NPI number for Sunny Diffang is 1407480817. It was assigned to this individual provider in the NPPES registry on February 24, 2020.
Where is Sunny Diffang located?
Sunny Diffang practices at 3523 Corn Stream Rd, Randallstown, MD 21133. The listed phone number is (410) 528-3866.
What is Sunny Diffang's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Sunny Diffang enrolled in Medicare?
Yes. Sunny Diffang 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 Sunny Diffang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sunny Diffang reassigns Medicare benefits to 2 organizations: Luminis Health Medical Group, LLC (Laurel, MD) and Axis Healthcare Group (Silver Spring, 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 Sunny Diffang'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 Sunny Diffang was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Sunny Besong Diffang, CRNP · NPI 1407480817
Psychiatric/Mental Health physician in Randallstown, Maryland. Individual provider, active in the CMS NPPES registry since February 24, 2020.
## Identity
- **NPI:** 1407480817 (Entity type: Individual)
- **Enumerated:** February 24, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R202090 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 3523 CORN STREAM RD, Randallstown, MD 21133-2442
- **Phone:** (410) 528-3866
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Luminis Health Medical Group, LLC (NPI 1528899366, Laurel, MD); Axis Healthcare Group (NPI 1326295098, Silver Spring, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1407480817) · Data from the CMS NPPES public registry.