Individual provider Active NPI

Amelia Abban, CRNP-BC

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1023761970
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
221285 Issued in MD
Practice address
14502 Greenview Dr Ste 545
Laurel, MD 20708-3287
Phone
(240) 473-3007
Fax
(949) 695-2194
NPI assigned
Feb 1, 2022
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 221285 MD Primary

Addresses

Primary practice location

14502 Greenview Dr Ste 545
Laurel, MD 20708-3287

Mailing address

14502 Greenview Dr Ste 545
Laurel, MD 20708-3287
Phone (240) 473-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224000936 DC Practitioner - Nurse Practitioner 1052705639 Reassigns benefits to 1 organization
Practice locations: Laurel, MD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14502 Greenview Dr
Suite 545
Laurel, MD 20708-3287

15613 Mews CT
Laurel, MD 20707-3307
Phone (240) 533-1182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
221285MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Access Care LLC Family Medicine CurrentSince Dec 8, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14502 Greenview Dr
Ste 500L21
Laurel, MD 20708

14502 Greenview Dr
Ste 545
Laurel, MD 20708
Phone (240) 473-3007

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1023761970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 545",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083287",
            "telephone_number": "240-473-3007",
            "fax_number": "949-695-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR STE 545",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083287",
            "telephone_number": "240-473-3007",
            "fax_number": "949-695-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAN",
        "first_name": "AMELIA",
        "credential": "CRNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "221285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.