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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARY TESSIE THULLAH BANGURA DNP-PMHNP
NPI 1740956531
Nurse Practitioner - Gerontology in Washington, DC

Active since August 20, 2021PECOS Enrolled
2603 HAMLIN ST NE, WASHINGTON, DC 20018(202) 730-6559 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Apr 24, 2026, Sep 2, 2025 and 3 more (6 updates tracked since 2021).

About Mary Tessie Thullah Bangura Dnp-pmhnp NPPES

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

MARY TESSIE THULLAH BANGURA DNP-PMHNP (NPI 1740956531) is an individual gerontology provider in Washington, District Of Columbia, licensed in District Of Columbia (NP1009163) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1740956531
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY TESSIE THULLAH BANGURACredential: DNP-PMHNP
Location Address2603 HAMLIN ST NEWashington, DC 20018-2530
Mailing Address5055 Seminary Rd Apt 239Alexandria, VA 22311-2004 · (202) 730-6559
Phone(202) 730-6559
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 20, 2021
Last NPPES UpdateJuly 14, 20266 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1740956531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in DC · NP1009163✔ Licensed in MD · R161437
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License NP1009163 (DC)
2603 HAMLIN ST NE, Washington, DC 20018
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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

Mary Tessie Thullah Bangura Dnp-pmhnp 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 ID547618167
PECOS Enrollment IDI20250821001741, I20260223001302
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 20018 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

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

RB ANGELS HAVEN HEALTH CENTER PLLC
Nurse Practitioner (Gerontology)
2603 HAMLIN ST NE
WASHINGTON, DC 20018
District of Columbia (202) 730-6559

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 Mary Thullah Bangura's NPI number?

The NPI number for Mary Thullah Bangura is 1740956531. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Mary Thullah Bangura located?

Mary Thullah Bangura practices at 2603 Hamlin St NE, Washington, DC 20018. The listed phone number is (202) 730-6559.

What is Mary Thullah Bangura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mary Thullah Bangura enrolled in Medicare?

Yes. Mary Thullah Bangura 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.

When was this NPI record last updated?

The NPPES record for Mary Thullah Bangura was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.