SIPHRA NGUM MUKORO
NPI 1477289619
Nurse Practitioner - Psychiatric/Mental Health in Laurel, MD
About Siphra Ngum Mukoro NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIPHRA NGUM MUKORO (NPI 1477289619) is an individual psychiatric/mental health provider in Laurel, Maryland, licensed in Maryland (R223264) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
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
Siphra Ngum Mukoro 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 Siphra Mukoro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, MD 21044
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 200 clinicians in this Medicare group
Frederick, MD 21704
- Reassigned Medicare billing, Maryland enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20707 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAUREL, MD 20707
LAUREL, MD 20707
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 Siphra Mukoro's NPI number?
The NPI number for Siphra Mukoro is 1477289619. It was assigned to this individual provider in the NPPES registry on July 29, 2022.
Where is Siphra Mukoro located?
Siphra Mukoro practices at 13994 Baltimore Ave, Laurel, MD 20707. The listed phone number is (301) 477-2128.
What is Siphra Mukoro's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Siphra Mukoro enrolled in Medicare?
Yes. Siphra Mukoro 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 Siphra Mukoro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siphra Mukoro reassigns Medicare benefits to 2 organizations: Psychogeriatric Services LLC (Columbia, MD) and Grace Healthcare Services Inc (Frederick, 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 Siphra Mukoro'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 Siphra Mukoro was last updated on July 29, 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.
# Siphra Ngum Mukoro · NPI 1477289619
Psychiatric/Mental Health physician in Laurel, Maryland. Individual provider, active in the CMS NPPES registry since July 29, 2022.
## Identity
- **NPI:** 1477289619 (Entity type: Individual)
- **Enumerated:** July 29, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R223264 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13994 BALTIMORE AVE, Laurel, MD 20707-5087
- **Phone:** (301) 477-2128
## 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): Psychogeriatric Services LLC (NPI 1588689483, Columbia, MD); Grace Healthcare Services Inc (NPI 1902581978, Frederick, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 29, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1477289619) · Data from the CMS NPPES public registry.