NADINE CAROLE MISSIET FOGOUM (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093075731

NADINE CAROLE MISSIET FOGOUM (CRNP) is a healthcare provider. based in Laurel, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R205038 (MD). The NPI Number for NADINE CAROLE MISSIET FOGOUM (CRNP) is 1093075731

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NADINE CAROLE MISSIET FOGOUM (CRNP)
NPI
1093075731
Phone
(202) 459-8904
Address
8625 SAVANNAH RIVER RD
Enumeration Date
28 May 2012
Last Update Date
23 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2023604787
Graduation Year
2019 (7 years ago)
PAC ID
4183041890
Group Practice PAC ID
1254409550
Professional Enrollment ID
I20200826002556
Address ID
MD209104959SI8040XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

6,815 NURSE PRACTITIONER in MD

Provider Addresses for NADINE CAROLE MISSIET FOGOUM (CRNP)

  • 8625 SAVANNAH RIVER RD

    LAUREL, MD 207241956

    Phone: (202) 459-8904

    Type: Mailing

  • 8040 Georgia Ave Ste 170

    Silver Spring, MD 209104959

    Phone: (202) 360-4787

    Fax: (202) 360-4787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $396.

Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Indivior Inc. ($284).

Total Amount

$396

General + Research + Ownership

Payments

28

Total payment records

General Amount

$396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200826002249INurse PractitionerMDTBD
I20200826002556INurse PractitionerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3522$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 20724)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254409550View full group profile
NameSpecialtyState
-MD
P S Y C H I A T R YWV
Psychiatry, Hospitalist, Psychiatry, Internal MedicineMD
P S Y C H I A T R YNY
Nurse PractitionerMO
P S Y C H I A T R YMD
Nurse PractitionerVA
-MD
-MD
-MD

Reviews

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Frequently asked questions

What unique ID ties claims to NADINE CAROLE MISSIET FOGOUM (CRNP)?
NPI 1093075731 is assigned to NADINE CAROLE MISSIET FOGOUM (CRNP) under the national enumeration system.
Is NADINE CAROLE MISSIET FOGOUM (CRNP) currently active in the NPI registry?
CMS-published data lists NADINE CAROLE MISSIET FOGOUM (CRNP) as an active registrant.
What does NADINE CAROLE MISSIET FOGOUM (CRNP) treat or focus on?
Patients typically see NADINE CAROLE MISSIET FOGOUM (CRNP) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does NADINE CAROLE MISSIET FOGOUM (CRNP) practice in Maryland?
You will see Laurel, Maryland on file for NADINE CAROLE MISSIET FOGOUM (CRNP) alongside any extra practice locations.
How can I contact NADINE CAROLE MISSIET FOGOUM (CRNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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