MARILYN NAH NGUNDAM (NP -C, PMHNP-BC) – Family Nurse Practitioner, NPI 1447720669
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARILYN NAH NGUNDAM (NP -C, PMHNP-BC)
66 W Flagler St Ste 900
Miami, FL 331301807
Phone: (240) 784-0206
Type: Location
1861 E Maple Rd
Troy, MI 480834207
Phone: (248) 246-0172
Type: Location
18463 Livernois Ave
Detroit, MI 482212254
Phone: (313) 861-5810
Type: Location
Epic Primary Care, 911, East 9 Mile Road, Ferndale, Oakland County, Michigan, 48220, United States
FERNDALE, MI 482201934
Phone: (248) 336-4000
Type: Location
3950 S Rochester Rd Ste 1300
Rochester Hills, MI 48307
Phone: (248) 705-6223
Fax: (248) 253-1462
Type: Location
911 E 9 Mile Rd
Ferndale, MI 482201934
Phone: (248) 336-4000
Type: Location
400 N Wayne Rd
Westland, MI 481853628
Phone: (734) 522-7000
Type: Location
1300, South Rochester Road, Rochester Hills, Oakland County, Michigan, 48307, United States
ROCHESTER HILLS, MI 483075169
Phone: (248) 705-6223
Fax: (248) 253-1462
Type: Mailing
6309 MACK AVE
DETROIT, MI 482072302
Phone: (313) 921-4700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190107001895 | I | Nurse Practitioner | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33130)
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