MARY BIENOSEH, CRNP, CCNS — NPI 1619316338 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care in SILVER SPING, MD)

CMS-1500 Box 24J / 33a • NPI

1619316338

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LA2100X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care

Box 32 Service Location & ZIP+4

1500 FOREST GLEN RD, HOLY CROSS HEALTHCARE, SILVER SPING, MD, 20910

Official NPPES Practice Location

Practice Phone & Referral Fax

(443) 326-3550

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619316338 (MARY BIENOSEH, CRNP, CCNS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619316338` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARY BIENOSEH, CRNP, CCNS
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care NUCC Code: `363LA2100X` (Nurse Practitioner, Acute Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1500 FOREST GLEN RD, HOLY CROSS HEALTHCARE, SILVER SPING, MD, 20910
Practice Telephone / Fax	Tel: (443) 326-3550
Administrative Mailing Address	PO BOX 2294, ELLICOTT CITY, MD, 21041-2294
Enumeration & Last Sync	Enumerated: 2013-06-15 \| CMS Record Updated: 2016-10-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1500 FOREST GLEN RD, HOLY CROSS HEALTHCARE, SILVER SPING, MD, 20910

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Plain-English Taxonomy & CMS Crosswalk (363LA2100X)

What Does Taxonomy Code 363LA2100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2100X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Acute Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARY BIENOSEH, CRNP, CCNS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LA2100X` — Nurse Practitioner, Acute Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care	State: MD \| License: `R170371` \| Primary: Yes (Primary)
`364S00000X` — Clinical Nurse Specialist Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist	State: MD \| License: `CS00075` \| Primary: Secondary

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MARY BIENOSEH, CRNP, CCNS (NPI #1619316338)