Five-Star Integrated Health Services, LLC
NPI 1124596606ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Annapolis, MD
Nurse Practitioner, Psych/Mental Health in Annapolis, Maryland, registered in NPPES in November 2018. The authorized official on file is Tamia D. Rollins-Musgrave, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124596606 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2018 |
| Last updated in NPPES | Aug 5, 2020 |
| Certified by provider | Aug 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
| Registered Nurse, Psych/Mental Health | 163WP0808X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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