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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Ancella Fominyam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20012
- Reassigned Medicare billing, District of Columbia enrollment
- 3 clinicians in this Medicare group
Washington, DC 20011
- Reassigned Medicare billing, District of Columbia enrollment
- 5 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 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 8
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.
Which organizations bill Medicare for Ancella Fominyam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ancella Fominyam reassigns Medicare benefits to 2 organizations: Sunflower Health Care Resources (Washington, DC) and Clarity Healthcare Services LLC (Washington, DC). 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 Ancella Fominyam'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 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 3 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
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sunflower Health Care Resources (NPI 1851000707, Washington, DC); Clarity Healthcare Services LLC (NPI 1902669724, Washington, DC) · CMS Revalidation Reassignment List, October 2026 release
- **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.