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MELVEENA JOHNSON-BOLDEN PMHNP-BC
NPI 1922761956
Nurse Practitioner - Psychiatric/Mental Health in Upper Marlboro, MD

Active since October 17, 2021PECOS EnrolledAccepts Medicare Assignment
1300 MERCANTILE LN STE 129-14, UPPER MARLBORO, MD 20774(301) 381-3622(877) 832-1272 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2023, Dec 16, 2022, Oct 17, 2021 (3 updates tracked since 2021).

About Melveena Johnson-bolden Pmhnp-bc NPPES

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

MELVEENA JOHNSON-BOLDEN PMHNP-BC (NPI 1922761956) is an individual psychiatric/mental health provider in Upper Marlboro, Maryland, licensed in Maryland (R197061) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922761956
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELVEENA JOHNSON-BOLDENCredential: PMHNP-BC
Location Address1300 MERCANTILE LN STE 129-14Upper Marlboro, MD 20774-5327
Mailing Address12008 Hunterton StUpper Marlboro, MD 20774-1614 · (301) 807-7138
Phone(301) 381-3622
Fax(877) 832-1272
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 17, 2021
Last NPPES UpdateApril 30, 20253 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1922761956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R197061
1300 MERCANTILE LN STE 129-14, Upper Marlboro, MD 20774
Open in Google Maps ↗

Secondary Practice Locations 3

Location 112008 Hunterton StUpper Marlboro, MD 20774-1614 · Phone (301) 807-7138
Location 21120 Marks Church RdAugusta, GA 30909-2670 · Phone (301) 381-3622
Location 39707 Key West Ave Ste 100Rockville, MD 20850-3992 · Phone (240) 750-6467

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

Melveena Johnson-bolden Pmhnp-bc 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 ID1456736404
PECOS Enrollment IDI20230406000409
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 20774 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.

MJB HOLISTIC AND THERAPEUTIC SERVICES
Community/Behavioral Health
1300 MERCANTILE LN STE 129-14
UPPER MARLBORO, MD 20774
Prince George's County (301) 381-3622

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 Melveena Johnson-bolden's NPI number?

The NPI number for Melveena Johnson-bolden is 1922761956. It was assigned to this individual provider in the NPPES registry on October 17, 2021.

Where is Melveena Johnson-bolden located?

Melveena Johnson-bolden practices at 1300 Mercantile Ln Ste 129-14, Upper Marlboro, MD 20774. The listed phone number is (301) 381-3622.

What is Melveena Johnson-bolden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Melveena Johnson-bolden enrolled in Medicare?

Yes. Melveena Johnson-bolden 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 Melveena Johnson-bolden was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.