DR. QWEEN TI'YE DNP, APRN-CNP, PMHNP
NPI 1508529991
Nurse Practitioner - Psychiatric/Mental Health in Martinsburg, WV

Q: What is Qween Ti'ye's NPI number?

The NPI number for Qween Ti'ye is 1508529991. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Q: What is Qween Ti'ye'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 Qween Ti'ye was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 21, 2021PECOS EnrolledAccepts Medicare Assignment

400 FOXCROFT AVE STE 104, MARTINSBURG, WV 25401(304) 513-3495(800) 734-8498 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2026, Aug 26, 2023, Oct 21, 2021 (3 updates tracked since 2021).

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About Dr. Qween Ti'ye Dnp, Aprn-cnp, Pmhnp NPPES

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

DR. QWEEN TI'YE DNP, APRN-CNP, PMHNP (NPI 1508529991) is an individual psychiatric/mental health provider in Martinsburg, West Virginia, licensed in West Virginia (124479) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508529991

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. QWEEN TI'YECredential: DNP, APRN-CNP, PMHNP

Location Address400 FOXCROFT AVE STE 104Martinsburg, WV 25401-5302

Mailing Address98 Diving Scaup RdHedgesville, WV 25427-7739 · (304) 513-3495

Phone(304) 513-3495

Fax(800) 734-8498

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 21, 2021

Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1508529991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in WV · 124479

400 FOXCROFT AVE STE 104, Martinsburg, WV 25401

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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. Qween Ti'ye Dnp, Aprn-cnp, Pmhnp 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 ID4587146402

PECOS Enrollment IDI20260228000894

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 16

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

ASHLEY TUDELA

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