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

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: August 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2026, Jan 8, 2026, Aug 26, 2023 and 1 more (4 updates tracked since 2021).

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
Fax(800) 734-8498
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 21, 2021
Last NPPES UpdateAugust 21, 20264 updates tracked since enumeration
NPPES CertifiedAugust 21, 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

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Qween Ti'ye reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Neuropsychologist
1005 WHITE WILLOW WAY
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 134 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 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 15

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

Social Worker (Clinical)
400 FOXCROFT AVE STE 104
MARTINSBURG, WV 25401
Social Worker (Clinical)
400 FOXCROFT AVE STE 104
MARTINSBURG, WV 25401
Social Worker
400 FOXCROFT AVE STE 104
MARTINSBURG, WV 25401
Counselor (Mental Health)
400 FOXCROFT AVE STE 104
MARTINSBURG, WV 25401
Counselor (Mental Health)
400 FOXCROFT AVE STE 104
MARTINSBURG, WV 25401
Social Worker
400 FOXCROFT AVE STE 104
MARTINSBURG, WV 25401
Social Worker
400 FOXCROFT AVE STE 104
MARTINSBURG, WV 25401
Social Worker
400 FOXCROFT AVE STE 104
MARTINSBURG, WV 25401

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 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.

Where is Qween Ti'ye located?

Qween Ti'ye practices at 400 Foxcroft Ave Ste 104, Martinsburg, WV 25401. The listed phone number is (304) 513-3495.

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.

Is Qween Ti'ye enrolled in Medicare?

Yes. Qween Ti'ye 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 organization bills Medicare for Qween Ti'ye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Qween Ti'ye reassigns Medicare benefits to Gr & w, Inc (Morgantown, WV). The 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 Qween Ti'ye'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 Qween Ti'ye was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.