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MYONOWAY PHELPS GREEN CRNP
NPI 1801593025
Nurse Practitioner in Glenn Dale, MD

Active since February 08, 2023PECOS EnrolledAccepts Medicare Assignment
12150 ANNAPOLIS RD STE 205, GLENN DALE, MD 20769(301) 805-1103 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Feb 8, 2023 (2 updates tracked since 2023).

About Myonoway Phelps Green Crnp NPPES

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

MYONOWAY PHELPS GREEN CRNP (NPI 1801593025) is an individual nurse practitioner in Glenn Dale, Maryland, licensed in Maryland (R168335) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801593025
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMYONOWAY PHELPS GREENCredential: CRNP
Location Address12150 ANNAPOLIS RD STE 205Glenn Dale, MD 20769-9183
Mailing Address12150 Annapolis RdGlenn Dale, MD 20769-9183 · (301) 805-1103
Phone(301) 805-1103
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 8, 2023
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1801593025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R168335
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12150 ANNAPOLIS RD STE 205, Glenn Dale, MD 20769
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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

Myonoway Phelps Green 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 ID9133638117
PECOS Enrollment IDI20250602001378, I20250611002234
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 20769 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 3

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

VANESSA OSULA DNP, RN, AGPCNP-BC
Nurse Practitioner
12150 ANNAPOLIS RD STE 205
GLENN DALE, MD 20769
Prince George's County (301) 805-1103
PAMELA FRU TANGE ORIAIFO
Nurse Practitioner (Psychiatric/Mental Health)
12150 ANNAPOLIS RD STE 205
GLENN DALE, MD 20769
Prince George's County (240) 476-4081
ARROWHEAD HEALTH AND WELLNESS, LLC
Nurse Practitioner (Psychiatric/Mental Health)
12150 ANNAPOLIS RD STE 205
GLENN DALE, MD 20769
Prince George's County (240) 918-1182

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 Myonoway Phelps Green's NPI number?

The NPI number for Myonoway Phelps Green is 1801593025. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Where is Myonoway Phelps Green located?

Myonoway Phelps Green practices at 12150 Annapolis Rd Ste 205, Glenn Dale, MD 20769. The listed phone number is (301) 805-1103.

What is Myonoway Phelps Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Myonoway Phelps Green enrolled in Medicare?

Yes. Myonoway Phelps Green 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 Myonoway Phelps Green was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.