Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mimi Tyson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1952960924

Mimi Tyson is a Nurse Practitioner in North Bethesda, Maryland. Qualified in 2019, 7 years ago. Practices with Cervello-Wellness LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Virginia.

Years since qualifying
7
Licensed in
MD, VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

6010 Executive Blvd Ste 700
North Bethesda, MD 20852-3885
Phone: (301) 392-7120
Fax: (301) 259-3820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024177697 (VA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence R180111 (MD)

Record details

NPI number1952960924
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2019
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cervello-Wellness Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in North Bethesda