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ABRAHAM APENE MBANGOWAH NP
NPI 1710523022
Nurse Practitioner - Family in Silver Spring, MD

Active since November 21, 2019PECOS EnrolledAccepts Medicare Assignment
1111 SPRING ST STE 220, SILVER SPRING, MD 20910(240) 641-8160(240) 641-8166 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2019, Nov 26, 2019, Nov 21, 2019 (3 updates tracked since 2019).

About Abraham Apene Mbangowah Np NPPES

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

ABRAHAM APENE MBANGOWAH NP (NPI 1710523022) is an individual family provider in Silver Spring, Maryland, licensed in Maryland (R202296) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710523022
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameABRAHAM APENE MBANGOWAHCredential: NP
Location Address1111 SPRING ST STE 220Silver Spring, MD 20910-4003
Mailing Address15004 Peartree DrBowie, MD 20721-3007 · (240) 481-6178
Phone(240) 641-8160
Fax(240) 641-8166
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 21, 2019
Last NPPES UpdateMarch 31, 20223 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1710523022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R202296
1111 SPRING ST STE 220, Silver Spring, MD 20910
Open in Google Maps ↗

Secondary Practice Locations 2

Location 115004 Peartree DrBowie, MD 20721-3007 · Phone (240) 726-8806 · Fax (888) 651-4677
Location 24 Executive Park CtGermantown, MD 20874-2645 · Phone (301) 968-0105 · Fax (800) 519-7417

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

Abraham Apene Mbangowah Np 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.

PECOS PAC ID6709212996
PECOS Enrollment IDI20200206002151
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 Reassignments

3

Medicare enrollment records show Abraham Mbangowah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diversity Health Clinic, LLC
7.0 mi
Primary Care
15101 CENTERGATE DR
Silver Spring, MD 20905
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group
NPI 1780286732 (301) 793-4761
Privia Care Center LLC
9.5 mi
Internal Medicine
950 N GLEBE RD, SUITE 4000
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 242 clinicians in this Medicare group
NPI 1164874426 (571) 366-8850
Privia Medical Group, LLC
9.5 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 20910 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.

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 Abraham Mbangowah's NPI number?

The NPI number for Abraham Mbangowah is 1710523022. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Abraham Mbangowah located?

Abraham Mbangowah practices at 1111 Spring St Ste 220, Silver Spring, MD 20910. The listed phone number is (240) 641-8160.

What is Abraham Mbangowah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Abraham Mbangowah enrolled in Medicare?

Yes. Abraham Mbangowah 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 Abraham Mbangowah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abraham Mbangowah reassigns Medicare benefits to 3 organizations: Diversity Health Clinic, LLC (Silver Spring, MD), Privia Care Center LLC (Arlington, VA) and Privia Medical Group, LLC (Arlington, VA). 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 Abraham Mbangowah'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 Abraham Mbangowah was last updated on March 31, 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.