MS. MILDRED E KANGKOLO FNP
NPI 1639754336
Nurse Practitioner - Family in Linthicum Heights, MD
About Ms. Mildred E Kangkolo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MILDRED E KANGKOLO FNP (NPI 1639754336) is an individual family provider in Linthicum Heights, Maryland, licensed in Maryland (R192423) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Mildred E Kangkolo Fnp 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
8Medicare enrollment records show Mildred Kangkolo reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Linthicum Heights, MD 21090
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 44 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 40 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 27 clinicians in this Medicare group
Fulton, MD 20759
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 82 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 62 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 62 clinicians in this Medicare group
Sterling, VA 20165
- Reassigned Medicare billing, District of Columbia enrollment
- 94 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, District of Columbia enrollment
- 11 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LINTHICUM HEIGHTS, MD 21090
LINTHICUM, MD 21090
LINTHICUM HEIGHTS, MD 21090
LINTHICUM HEIGHTS, MD 21090
LINTHICUM HEIGHTS, MD 21090
LINTHICUM HEIGHTS, MD 21090
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 Mildred Kangkolo's NPI number?
The NPI number for Mildred Kangkolo is 1639754336. It was assigned to this individual provider in the NPPES registry on March 14, 2021.
Where is Mildred Kangkolo located?
Mildred Kangkolo practices at 785 Elkridge Landing Rd Ste 300, Linthicum Heights, MD 21090. The listed phone number is (443) 548-5700.
What is Mildred Kangkolo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mildred Kangkolo enrolled in Medicare?
Yes. Mildred Kangkolo 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 Mildred Kangkolo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mildred Kangkolo reassigns Medicare benefits to 8 organizations: Five Star Physician Services, LLC (Linthicum Heights, MD), Healthdrive Medical Services, PC (Columbia, MD), Healthdrive Medical Services Southeast LLC (Columbia, MD), Ennoble Hc Dmv LLC (Fulton, MD), Ennoble Hc Dmv III LLC (Silver Spring, MD) and 3 more organizations, listed in the Medicare section above. 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 Mildred Kangkolo'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 Mildred Kangkolo was last updated on July 2, 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.
# Ms. Mildred E Kangkolo, FNP · NPI 1639754336
Family physician in Linthicum Heights, Maryland. Individual provider, active in the CMS NPPES registry since March 14, 2021.
## Identity
- **NPI:** 1639754336 (Entity type: Individual)
- **Enumerated:** March 14, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R192423 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 785 ELKRIDGE LANDING RD STE 300, Linthicum Heights, MD 21090-2958
- **Phone:** (443) 548-5700
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Five Star Physician Services, LLC (NPI 1083654479, Linthicum Heights, MD); Healthdrive Medical Services, PC (NPI 1588469548, Columbia, MD); Healthdrive Medical Services Southeast LLC (NPI 1437930146, Columbia, MD); Ennoble Hc Dmv LLC (NPI 1104492115, Fulton, MD); Ennoble Hc Dmv III LLC (NPI 1922981695, Silver Spring, MD); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** July 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639754336) · Data from the CMS NPPES public registry.