IMMACULATA ULU CRNP
NPI 1740298579
Nurse Practitioner - Psychiatric/Mental Health in Riverdale Park, MD

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
4404 QUEENSBURY RD STE 210, RIVERDALE PARK, MD 20737(301) 693-0501(240) 582-1393 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Feb 24, 2023, May 10, 2021 and 5 more (8 updates tracked since 2016).

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

NPI1740298579
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIMMACULATA ULUCredential: CRNP
Location Address4404 QUEENSBURY RD STE 210Riverdale Park, MD 20737-1068
Mailing Address4404 Queensbury Rd Ste 210Riverdale Park, MD 20737-1068 · (301) 693-0501 · Fax (240) 582-1393
Fax(240) 582-1393
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 4, 2006
Last NPPES UpdateMay 7, 20268 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1740298579 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 · R107244
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R107244 (MD)
4404 QUEENSBURY RD STE 210, Riverdale Park, MD 20737

Other Names 1

Former Name (1)Immaculata Ulu Np

Other Identifiers 1

Medicaid322015000MD

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2860491834
PECOS Enrollment IDI20061220000556, I20131230000916
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 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.

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 4

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

Community/Behavioral Health
4404 QUEENSBURY RD STE 210
RIVERDALE, MD 20737
Nurse Practitioner (Psychiatric/Mental Health)
4404 QUEENSBURY RD STE 210
RIVERDALE PARK, MD 20737
Counselor (Mental Health)
4404 QUEENSBURY RD STE 210
RIVERDALE, MD 20737
Nurse Practitioner (Family)
4404 QUEENSBURY RD STE 210
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.

What insurance does Immaculata Ulu accept?

Health plans from Providence Health Plan list Immaculata Ulu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 2 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.