American Primecare & Wellness Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

AMERICAN PRIMECARE & WELLNESS INC

Practice address

814 Toll House Ave
Frederick, MD 21701-4519

Phone

(301) 662-8310

NPI assigned

Nov 7, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ruby Jade Ibarra, CRNPNPI 1720853286

Title

Business Owner

Phone

(443) 842-1863

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruby Jade Ibarra

  • Gerontology Nurse Practitioner
  • Frederick, MD
  • NPI 1720853286
  Medicare reassignment NPD Authorized official
• Sunita Adhikari Gupta

  • Registered Nurse
  • Glenelg, MD
  • NPI 1508613704
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1003786856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BEXHILL DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 TOLL HOUSE AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014519",
            "telephone_number": "301-662-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PRIMECARE & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "RUBY JADE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "443-842-1863",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Tsehaye Amdemichael, M.D.
• James Scluctore Amedeu, OD
• Amedisys Maryland LLC
• James P Amerena, M.D.
• America'S Best Contacts & Eyeglasses
• American Spine Center LLC
• American Spine Surgery Center LLC
• Danielle A Amini-Luther, D.M.D.
• Shamar L Amison, ND
• Constant Amoa Jr.

• Adult Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Adult Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.