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, and ordering and referring status from the CMS PECOS system.
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.
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.
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
- **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.