WINIFRED FRINUE FUNDOH
NPI 1790043198
Nurse Practitioner - Family in Annapolis, MD

Q: What is Winifred Fundoh's NPI number?

The NPI number for Winifred Fundoh is 1790043198. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Q: What is Winifred Fundoh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Winifred Fundoh was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 24, 2012PECOS EnrolledAccepts Medicare Assignment

2601 RIVA RD, ANNAPOLIS, MD 21401(410) 571-2090 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2023, Mar 16, 2023, Jan 31, 2023 (3 updates tracked since 2023).

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About Winifred Frinue Fundoh NPPES

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

WINIFRED FRINUE FUNDOH (NPI 1790043198) is an individual family provider in Annapolis, Maryland, licensed in Maryland (R212930) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790043198

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameWINIFRED FRINUE FUNDOH

Location Address2601 RIVA RDAnnapolis, MD 21401-7304

Mailing Address2601 Riva RdAnnapolis, MD 21401-7304 · (410) 571-2090

Phone(410) 571-2090

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 24, 2012

Last NPPES UpdateMay 10, 20233 updates tracked since enumeration

NPPES CertifiedMay 10, 2023

✔ NPI 1790043198 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

Licenses✔ Licensed in MD · R212930✔ Licensed in MD · 2022066987

2601 RIVA RD, Annapolis, MD 21401

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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

Winifred Frinue Fundoh 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 ID749647287

PECOS Enrollment IDI20230527000123, I20230530000327

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 21401 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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 20

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

JAZZMINE C MILLER

Pharmacist