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

Nadine Carole Missiet Fogoum, CRNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093075731

Nadine Carole Missiet Fogoum, CRNP is a Nurse Practitioner in Laurel, Maryland. Qualified in 2019, 7 years ago. Practices with Axis Healthcare Group, a 74-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2012
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

8625 Savannah River Rd
Laurel, MD 20724-1956
Phone: (202) 459-8904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8040 Georgia Ave Ste 170, Silver Spring, MD 20910-4959 — (202) 360-4787

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R205038 (MD)

Record details

NPI number1093075731
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 28, 2012
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024

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 Axis Healthcare Group — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Laurel