JAMES BABIO CRNP/PMHNP
NPI 1962787432
Registered Nurse - Psychiatric/Mental Health in Bowie, MD
About James Babio Crnp/pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES BABIO CRNP/PMHNP (NPI 1962787432) is an individual psychiatric/mental health provider in Bowie, Maryland, licensed in Maryland (R175052) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
James Babio Crnp/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.
Medicare Billing Reassignment
Medicare enrollment records show James Babio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waldorf, MD 20601
- Reassigned Medicare billing, Maryland enrollment
- 5 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.
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 James Babio's NPI number?
The NPI number for James Babio is 1962787432. It was assigned to this individual provider in the NPPES registry on October 17, 2011.
Where is James Babio located?
James Babio practices at 4810 Silverbrook Way, Bowie, MD 20720. The listed phone number is (703) 864-5634.
What is James Babio's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.
Is James Babio enrolled in Medicare?
Yes. James Babio 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 organization bills Medicare for James Babio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Babio reassigns Medicare benefits to Cross Behavioral Consulting (Waldorf, MD). The 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 James Babio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for James Babio was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# James Babio, CRNP/PMHNP · NPI 1962787432
Psychiatric/Mental Health provider in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since October 17, 2011.
## Identity
- **NPI:** 1962787432 (Entity type: Individual)
- **Enumerated:** October 17, 2011
- **Primary specialty:** Registered Nurse - Psychiatric/Mental Health · taxonomy 163WP0808X
- **State license:** R175052 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4810 SILVERBROOK WAY, Bowie, MD 20720-3470
- **Phone:** (703) 864-5634
## 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:** Cross Behavioral Consulting (NPI 1972160406, Waldorf, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** November 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962787432) · Data from the CMS NPPES public registry.