Individual provider Active NPI

Ghadeer Ibrahim, CRNP

  • Family Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1053937060
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R222016 Issued in MD
Practice address
13121 Brooklane Dr
Hagerstown, MD 21742-1514
Phone
(301) 733-0330
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 108391 WV
Family Nurse Practitioner 363LF0000X SP023540 PA
Family Nurse Practitioner 363LF0000X R222016 MD Primary

Addresses

Primary practice location

13121 Brooklane Dr
Hagerstown, MD 21742-1514

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 766-7600

Other practice location 1

905 Tower Rd Ste 3188
Bristol, PA 19007-3116
Phone (443) 383-9300

Other practice location 2

1050 W Industrial Blvd
Cumberland, MD 21502-4331
Phone (301) 733-0330

Other practice location 3

11116 Medical Campus Rd Ste 2989
Hagerstown, MD 21742-6710
Phone (301) 766-7600

Other practice location 4

8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346
Phone (443) 383-9300

Other practice location 5

1263 S George St # A
Charles Town, WV 25414-4384
Phone (443) 383-9300

Other practice location 6

18714 N Village
Hagerstown, MD 21742-2454
Phone (301) 733-0330

Other practice location 7

4540 Mack Ave Ste B
Frederick, MD 21703-3303
Phone (301) 733-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV, DC, PA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210222002151 MD Practitioner - Nurse Practitioner 9537574744 Reassigns benefits to 2 organizations
I20221031002253 WV Practitioner - Nurse Practitioner 9537574744 Reassigns benefits to 1 organization
I20221101001841 DC Practitioner - Nurse Practitioner 9537574744 Reassigns benefits to 3 organizations
I20221101002827 PA Practitioner - Nurse Practitioner 9537574744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians
Varahe Health Services LLCGroup PAC ID 6002347077, 11 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

141 S Main St
Boonsboro, MD 21713-1203
Phone (301) 991-4654

303 Adclare Rd
Rockville, MD 20850-3825
Phone (301) 991-4654

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc Current Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Oct 31, 2022 Accepting new patients
Consonant Healing Medical Associates CurrentSince Oct 31, 2022 Accepting new patients
Varahe Health Services LLC CurrentSince May 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

141 S Main St
Boonsboro, MD 21713
Phone (301) 432-5457

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

11116 Medical Campus Rd
Ste 2989
Hagerstown, MD 21742
Phone (301) 766-7600

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

303 Adclare Rd
Rockville, MD 20850
Phone (301) 279-9000

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

1263 S George St
Ste A
Charles Town, WV 25414

1263 S George St
#A
Charles Town, WV 25414

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1053937060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11116 MEDICAL CAMPUS RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426710",
            "telephone_number": "301-766-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 BROOKLANE DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421514",
            "telephone_number": "301-733-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Tower Rd Ste 3188",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190073116",
            "country_code": "US",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024331",
            "country_code": "US",
            "telephone_number": "301-733-0330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11116 Medical Campus Rd Ste 2989",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426710",
            "country_code": "US",
            "telephone_number": "301-766-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8403 Colesville Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209106346",
            "country_code": "US",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1263 S George St # A",
            "address_purpose": "LOCATION",
            "city": "Charles Town",
            "state": "WV",
            "postal_code": "254144384",
            "country_code": "US",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18714 N Village",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422454",
            "country_code": "US",
            "telephone_number": "301-733-0330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4540 Mack Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217033303",
            "country_code": "US",
            "telephone_number": "301-733-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "GHADEER",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "108391",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023540",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R222016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.