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PATRICIA MAFORNGWAHFOR TALA
NPI 1609617703
Nurse Practitioner - Psychiatric/Mental Health in Clinton, MD

Active since June 03, 2024PECOS Enrolled
9135 PISCATAWAY RD STE 410, CLINTON, MD 20735(240) 643-1063 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Patricia Maforngwahfor Tala NPPES

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

PATRICIA MAFORNGWAHFOR TALA (NPI 1609617703) is an individual psychiatric/mental health provider in Clinton, Maryland, licensed in Maryland (R224410) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609617703
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePATRICIA MAFORNGWAHFOR TALA
Location Address9135 PISCATAWAY RD STE 410Clinton, MD 20735-2555
Mailing Address10203 Birdie LnUpper Marlboro, MD 20774-6068 · (240) 486-2745
Phone(240) 643-1063
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 3, 2024
NPPES CertifiedJune 2, 2024
✔ NPI 1609617703 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 MD · R224410
9135 PISCATAWAY RD STE 410, Clinton, MD 20735
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Maforngwahfor Tala is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921571654
PECOS Enrollment IDI20260624003926
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 Patricia Tala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Standard Healthcare Plus LLC
Same address
Multi-Specialty
9135 PISCATAWAY RD STE 410
Clinton, MD 20735
  • Reassigned Medicare billing, Maryland enrollment
  • 5 clinicians in this Medicare group
NPI 1245050038 (240) 643-1063

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 20735 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 20

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

TOTAL YOU HEALTHCARE SYSTEMS
Durable Medical Equipment & Medical Supplies
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Prince George's County (240) 348-7860
CAPITAL INTEGRATIVE HEALTH CENTER
Clinic/Center (Health Service)
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Prince George's County (240) 350-0561
STANDARD HEALTHCARE PLUS LLC
Psychiatry & Neurology (Neurology)
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Prince George's County (240) 643-1063
STANDARD HEALTHCARE PLUS LLC
Community/Behavioral Health
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Prince George's County (240) 643-1063
STANDARD HEALTHCARE PLUS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Prince George's County (240) 643-1063
JUDE NJIE AJUA
Case Manager/Care Coordinator
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Prince George's County (240) 846-5263
WASHINGTON FAMILY DENTAL CENTER
Clinic/Center (Dental)
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Prince George's County (301) 613-0735
STANDARD HEALTHCARE PLUS LLC
Clinic/Center (Multi-Specialty)
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Prince George's County (240) 643-1063

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 Patricia Tala's NPI number?

The NPI number for Patricia Tala is 1609617703. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Patricia Tala located?

Patricia Tala practices at 9135 Piscataway Rd Ste 410, Clinton, MD 20735. The listed phone number is (240) 643-1063.

What is Patricia Tala's specialty?

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

Is Patricia Tala enrolled in Medicare?

Yes. Patricia Tala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patricia Tala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Tala reassigns Medicare benefits to Standard Healthcare Plus LLC (Clinton, MD). 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 Patricia Tala'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 Patricia Tala was last updated on June 3, 2024. 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.