Individual provider Active NPI

Flora Bih Ndaka-Nusta, FNP

  • Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1043848716
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R137011 Issued in MD
Practice address
600 Largo Rd Uppr Malboro
Upper Marlboro, MD 20774-2122
Phone
(240) 305-3696
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R137011 MD Primary

Addresses

Primary practice location

600 Largo Rd Uppr Malboro
Upper Marlboro, MD 20774-2122

Mailing address

600 Largo Rd Uppr Malboro
Upper Marlboro, MD 20774-2122
Phone (240) 305-3696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200716000021 MD Practitioner - Nurse Practitioner 0446674089 Reassigns benefits to 4 organizations
I20210720001140 DC Practitioner - Nurse Practitioner 0446674089 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Medical Services PCGroup PAC ID 1355863952, 33 clinicians

Practice addresses (Care Compare)

6700 Alexander Bell Dr
Suite 200
Columbia, MD 21046-2105
Phone (888) 964-6681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R137011MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Umroi, LLC CurrentSince Jun 7, 2020 Accepting new patients
Healthdrive Medical Services Southeast LLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Healthdrive Medical Services, PC Nurse Practitioner CurrentSince Oct 6, 2025 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients

Locations

1300 I St NW
Ste 400E
Washington, DC 20005
Phone (202) 902-7324

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

6700 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (201) 581-3411

12325 New Hampshire Ave
Silver Spring, MD 20904
Phone (301) 622-4600

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1043848716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LARGO RD UPPR MALBORO",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742122",
            "telephone_number": "240-305-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LARGO RD UPPR MALBORO",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742122",
            "telephone_number": "240-305-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDAKA-NUSTA",
        "first_name": "FLORA",
        "middle_name": "BIH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R137011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.