IMMACULATA ULU CRNP
NPI 1740298579
Nurse Practitioner - Psychiatric/Mental Health in Riverdale Park, MD
About Immaculata Ulu Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMMACULATA ULU CRNP (NPI 1740298579) is an individual psychiatric/mental health provider in Riverdale Park, Maryland, licensed in Maryland (R107244) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 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
Immaculata Ulu Crnp 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 Immaculata Ulu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverdale Park, MD 20737
- Reassigned Medicare billing, District of Columbia enrollment
Parkville, MD 21234
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Rosies Recovery Center LLC
- 4 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 20737 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERDALE, MD 20737
RIVERDALE PARK, MD 20737
RIVERDALE, MD 20737
RIVERDALE, MD 20737
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 Immaculata Ulu's NPI number?
The NPI number for Immaculata Ulu is 1740298579. It was assigned to this individual provider in the NPPES registry on August 4, 2006. The provider is also known as Immaculata Ulu Np.
Where is Immaculata Ulu located?
Immaculata Ulu practices at 4404 Queensbury Rd Ste 210, Riverdale Park, MD 20737. The listed phone number is (301) 693-0501.
What is Immaculata Ulu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Immaculata Ulu enrolled in Medicare?
Yes. Immaculata Ulu 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 Immaculata Ulu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Immaculata Ulu reassigns Medicare benefits to 2 organizations: Metro Mental Healthcare, LLC (Riverdale Park, MD) and Rosie's Recovery Center, LLC (Parkville, MD). 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 Immaculata Ulu'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 Immaculata Ulu was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Immaculata Ulu, CRNP · NPI 1740298579
Psychiatric/Mental Health physician in Riverdale Park, Maryland. Individual provider, active in the CMS NPPES registry since August 4, 2006.
## Identity
- **NPI:** 1740298579 (Entity type: Individual)
- **Enumerated:** August 4, 2006
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R107244 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4404 QUEENSBURY RD STE 210, Riverdale Park, MD 20737-1068
- **Phone:** (301) 693-0501 · **Fax:** (240) 582-1393
## 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): Metro Mental Healthcare, LLC (NPI 1063925188, Riverdale Park, MD); Rosie's Recovery Center, LLC (NPI 1205573946, Parkville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** May 7, 2026
- **Other identifiers:** Medicaid 322015000 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1740298579) · Data from the CMS NPPES public registry.