MELVEENA JOHNSON-BOLDEN PMHNP-BC
NPI 1922761956
Nurse Practitioner - Psychiatric/Mental Health in Upper Marlboro, MD
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
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Melveena Johnson-bolden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Upper Marlboro, MD 20774
- Reassigned Medicare billing, District of Columbia enrollment
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia enrollment
- 1,534 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UPPER MARLBORO, MD 20774
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.
Which organizations bill Medicare for Melveena Johnson-bolden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melveena Johnson-bolden reassigns Medicare benefits to 2 organizations: Mjb Holistic And Therapeutic Services (Upper Marlboro, MD) and Privia Medical Group, LLC (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melveena Johnson-bolden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melveena Johnson-bolden accept?
Health plans from Oscar Health and UnitedHealthcare list Melveena Johnson-bolden 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 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 18 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.
# Melveena Johnson-Bolden, PMHNP-BC · NPI 1922761956
Psychiatric/Mental Health physician in Upper Marlboro, Maryland. Individual provider, active in the CMS NPPES registry since October 17, 2021.
## Identity
- **NPI:** 1922761956 (Entity type: Individual)
- **Enumerated:** October 17, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R197061 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1300 MERCANTILE LN STE 129-14, Upper Marlboro, MD 20774-5327
- **Phone:** (301) 381-3622 · **Fax:** (877) 832-1272
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mjb Holistic And Therapeutic Services (NPI 1093469231, Upper Marlboro, MD); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922761956) · Data from the CMS NPPES public registry.