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MRS. HELEN TINUKE KUMOLALO CRNP
NPI 1497995286
Nurse Practitioner - Psychiatric/Mental Health in Arbutus, MD

Active since March 06, 2009PECOS Enrolled
83.58/100
CMS Quality Rating
5205 EAST DR STE H, ARBUTUS, MD 21227(443) 631-4318 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2019, May 25, 2019 (2 updates tracked since 2019).

About Mrs. Helen Tinuke Kumolalo Crnp NPPES

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

MRS. HELEN TINUKE KUMOLALO CRNP (NPI 1497995286) is an individual psychiatric/mental health provider in Arbutus, Maryland, licensed in Maryland (R143503) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1497995286
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. HELEN TINUKE KUMOLALOCredential: CRNP
Location Address5205 EAST DR STE HArbutus, MD 21227-2403
Mailing Address2401 West Belvedere Ave, Cardiac Diagnostic CenterBaltimore, MD 21215 · (410) 601-8450
Phone(443) 631-4318
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 6, 2009
Last NPPES UpdateJuly 2, 20192 updates tracked since enumeration
✔ NPI 1497995286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R143503
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License R143503 (MD)
5205 EAST DR STE H, Arbutus, MD 21227
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Secondary Practice Location 1

Location 12401 W Belvedere AveBaltimore, MD 21215-5216 · Phone (410) 601-8450

Other Identifiers 1

Medicaid032332200MD

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 (PECOS)

Mrs. Helen Tinuke Kumolalo Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880873157
PECOS Enrollment IDI20110119001036
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
521 services195 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
41 services40 patients
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.
17 services17 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Levindale Hebrew Geriatric Center And Hospital

Acute Care Hospitals · Baltimore, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210064
Location2434 West Belvedere AvenueBaltimore, MD 21209 · Baltimore City County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21227 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.15
Promoting Interoperability100
Improvement Activities40
Cost62.64

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$71.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

GILGAL GROUP PA
Clinic/Center (Mental Health (Including Community Mental Health Center))
5205 EAST DR STE H
ARBUTUS, MD 21227
Baltimore County (410) 242-0423
HELEN KUMOLALO
Clinic/Center (Mental Health (Including Community Mental Health Center))
5205 EAST DR STE H
HALETHORPE, MD 21227
Baltimore County (410) 242-0423
GILGAL GROUP PA
Community/Behavioral Health
5205 EAST DR STE H
ARBUTUS, MD 21227
Baltimore County (443) 631-3878
QUMOLZ HEALTHCARE INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
5205 EAST DR STE H
HALETHORPE, MD 21227
Baltimore County (443) 631-4318

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 Helen Kumolalo's NPI number?

The NPI number for Helen Kumolalo is 1497995286. It was assigned to this individual provider in the NPPES registry on March 6, 2009.

Where is Helen Kumolalo located?

Helen Kumolalo practices at 5205 East Dr Ste H, Arbutus, MD 21227. The listed phone number is (443) 631-4318.

What is Helen Kumolalo's specialty?

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

Is Helen Kumolalo enrolled in Medicare?

Yes. Helen Kumolalo is registered in the Medicare PECOS enrollment system.

What insurance does Helen Kumolalo accept?

Health plans from Providence Health Plan list Helen Kumolalo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Helen Kumolalo affiliated with any hospitals?

According to CMS data, Helen Kumolalo is affiliated with Sinai Hospital Of Baltimore and Levindale Hebrew Geriatric Center And Hospital.

When was this NPI record last updated?

The NPPES record for Helen Kumolalo was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.