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NPI 1699039164ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Washington, DC
Nurse Practitioner, Psych/Mental Health with Axis Healthcare Group and 1 other group, practicing in Washington, District of Columbia. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner. Acadia Pharmaceuticals Inc reported $94.50 in payments in 2025, mostly food and beverage. Lists University of MD Capital Region Medical Center as a hospital affiliation.
Overview
| NPI | 1699039164 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 29, 2012 |
| Last updated in NPPES | Jul 7, 2025 |
| Certified by provider | Jul 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | R230198 | MD |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | NP1046909 | DC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (MD) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Axis Healthcare GroupSilver Spring, MD · 73 clinicians
- Toller Enterprises, LLCBaltimore, MD · 64 clinicians
Hospital affiliation
- University of MD Capital Region Medical CenterUpper Marlboro, MD
Industry payments (Open Payments)
- 2025$94.50 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Acadia Pharmaceuticals Inc | $94.50 | 1 |
What the 2025 payments were for
- Food and Beverage$94.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 269 psychiatric nurse practitioners in Washington · All psychiatric nurse practitioners in District of Columbia