Sophonie Mirshama Jean Baptiste, CRNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Silver Spring, Maryland. Her current practice location is
10770 Columbia Pike Ste 300, Silver Spring, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 663-5467.
Sophonie Mirshama Jean Baptiste is licensed to practice in Maryland (license number AC004748) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134836828.
Physician's Profile
Full Name | Sophonie Mirshama Jean Baptiste |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 10770 Columbia Pike Ste 300, Silver Spring, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134836828
- Provider Enumeration Date: 11/01/2022
- Last Update Date: 08/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092185140
- Enrollment ID: I20231128000618
Medical Identifiers
Medical identifiers for Sophonie Mirshama Jean Baptiste such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134836828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | TPAN3581 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | F350847 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024187951 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | AC004748 (Maryland) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sophonie Mirshama Jean Baptiste allows following entities to bill medicare on her behalf.
Entity Name | Sentara Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
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Entity Name | Optima Health Plan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396466066 PECOS PAC ID: 1658736186 Enrollment ID: O20230504003199 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophonie Mirshama Jean Baptiste is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sophonie Mirshama Jean Baptiste, CRNP, FNP-BC 5100 E Virginia Beach Blvd, Norfolk, VA 23502-3413 Ph: (757) 261-6475 | Sophonie Mirshama Jean Baptiste, CRNP, FNP-BC 10770 Columbia Pike Ste 300, Silver Spring, MD 20901-4439 Ph: (240) 663-5467 |
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