ANCELLA W FOMINYAM PMHNP-BC
NPI 1558951285
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC
About Ancella W Fominyam Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANCELLA W FOMINYAM PMHNP-BC (NPI 1558951285) is an individual psychiatric/mental health provider in Washington, District Of Columbia, licensed in District Of Columbia (NP1035937) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Ancella W Fominyam Pmhnp-bc 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 20012 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, DC 20012
WASHINGTON, DC 20012
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 Ancella Fominyam's NPI number?
The NPI number for Ancella Fominyam is 1558951285. It was assigned to this individual provider in the NPPES registry on January 26, 2021. The provider is also known as Ancella W. Fominyam Monthe-Tabod.
Where is Ancella Fominyam located?
Ancella Fominyam practices at 7826 Eastern Ave NW Ste 206, Washington, DC 20012. The listed phone number is (240) 350-8854.
What is Ancella Fominyam's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ancella Fominyam enrolled in Medicare?
Yes. Ancella Fominyam 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 Ancella Fominyam was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ancella W Fominyam, PMHNP-BC · NPI 1558951285
Psychiatric/Mental Health physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since January 26, 2021.
## Identity
- **NPI:** 1558951285 (Entity type: Individual)
- **Enumerated:** January 26, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP1035937 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7826 EASTERN AVE NW STE 206, Washington, DC 20012-1333
- **Phone:** (240) 350-8854
## 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 2021
## Record status
- **NPPES last updated:** October 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1558951285) · Data from the CMS NPPES public registry.