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HAWA FOFANAH CRNP
NPI 1679965602
Nurse Practitioner - Psychiatric/Mental Health in Rockville, MD

Active since February 27, 2015PECOS Enrolled
1451 ROCKVILLE PIKE STE 250, ROCKVILLE, MD 20852(301) 288-1600(301) 517-9276 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2022, Apr 6, 2022, Feb 1, 2017 (3 updates tracked since 2017).

About Hawa Fofanah Crnp NPPES

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

HAWA FOFANAH CRNP (NPI 1679965602) is an individual psychiatric/mental health provider in Rockville, Maryland, licensed in Maryland (R214435) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679965602
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHAWA FOFANAHCredential: CRNP
Location Address1451 ROCKVILLE PIKE STE 250Rockville, MD 20852-1486
Mailing Address2275 Research Blvd # 500-72Rockville, MD 20850-3268 · (301) 288-1600 · Fax (301) 517-9276
Phone(301) 288-1600
Fax(301) 517-9276
Sole ProprietorNo
Enumeration DateFebruary 27, 2015
Last NPPES UpdateMay 13, 20223 updates tracked since enumeration
NPPES CertifiedMay 13, 2022
✔ NPI 1679965602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R214435
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R214435 (MD)
1451 ROCKVILLE PIKE STE 250, Rockville, MD 20852
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12275 Research Blvd Ste 500-72Rockville, MD 20850-3268 · Phone (301) 288-1600
Location 26121 Montrose RdRockville, MD 20852-1242 · Phone (301) 770-8377 · Fax (301) 816-7716

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hawa Fofanah Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 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 12

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

WELLSPRING BRIDGE HEALTHCARE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1451 ROCKVILLE PIKE STE 250
ROCKVILLE, MD 20852
Montgomery County (301) 640-5288
GRABWISE HOME SAFETY SOLUTIONS LLC
Contractor (Home Modifications)
1451 ROCKVILLE PIKE STE 250
ROCKVILLE, MD 20852
Montgomery County (240) 921-7744
HEALING CLINIC LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1451 ROCKVILLE PIKE STE 250
ROCKVILLE, MD 20852
Montgomery County (301) 494-8682
EMILY LEMKE THERAPY & CONSULTATION, LLC
Social Worker (Clinical)
1451 ROCKVILLE PIKE STE 250
ROCKVILLE, MD 20852
Montgomery County (847) 997-8345
HEALING CLINIC LLC
Clinic/Center (Primary Care)
1451 ROCKVILLE PIKE STE 250
ROCKVILLE, MD 20852
Montgomery County (301) 494-8682
EMILY M STOLARSKI LEMKE LCSW-C
Social Worker (Clinical)
1451 ROCKVILLE PIKE STE 250
ROCKVILLE, MD 20852
Montgomery County (301) 579-0206
FREDERICK BEHAVIORAL HEALTH SERVICES, LLC
Social Worker (Clinical)
1451 ROCKVILLE PIKE STE 250
ROCKVILLE, MD 20852
Montgomery County (301) 321-8245
MOMOH MAKIEU
Nurse Practitioner (Psychiatric/Mental Health)
1451 ROCKVILLE PIKE STE 250
ROCKVILLE, MD 20852
Montgomery County (301) 640-5288

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 Hawa Fofanah's NPI number?

The NPI number for Hawa Fofanah is 1679965602. It was assigned to this individual provider in the NPPES registry on February 27, 2015.

Where is Hawa Fofanah located?

Hawa Fofanah practices at 1451 Rockville Pike Ste 250, Rockville, MD 20852. The listed phone number is (301) 288-1600.

What is Hawa Fofanah's specialty?

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

Is Hawa Fofanah enrolled in Medicare?

Yes. Hawa Fofanah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hawa Fofanah was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.