Shining Path Wellness Clinic LLC
NPI 1851277370 · Psychiatric/Mental Health Nurse Practitioner · Rockville, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shining Path Wellness Clinic LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Rockville, MD (NPI 1851277370).
Provider details
- NPI number
- 1851277370
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Afusat Deng, Owner(332) 330-3903
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-12
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Frequently asked questions
- What is Shining Path Wellness Clinic LLC's NPI number?
- Shining Path Wellness Clinic LLC's National Provider Identifier (NPI) is 1851277370, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shining Path Wellness Clinic LLC?
- Shining Path Wellness Clinic LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shining Path Wellness Clinic LLC located?
- Shining Path Wellness Clinic LLC's practice location on file with NPPES is 12345 Parklawn Dr Ste 200, Rockville, MD 20852-1725.
- What is Shining Path Wellness Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Shining Path Wellness Clinic LLC is (301) 355-3145.
- Does Shining Path Wellness Clinic LLC accept Medicare?
- Shining Path Wellness Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shining Path Wellness Clinic LLC?
- The authorized official listed on Shining Path Wellness Clinic LLC's NPPES record is Afusat Deng, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shining Path Wellness Clinic LLC's NPI active?
- Yes — Shining Path Wellness Clinic LLC's NPI (1851277370) is active in the NPPES registry as of the last update on 2025-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.