Melissa Danielle Magassouba

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R185466 Issued in MD

Practice address

2970 Dede Rd Ste 4
Finksburg, MD 21048-2349

Phone

(443) 487-4053

NPI assigned

Dec 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.magassouba.1@17455.direct.athenahealth.com

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.

• Magass Family Medicine & Urgent Care

  • Family Nurse Practitioner
  • Finksburg, MD
  • NPI 1942718010

  MD

  Medicare reassignment Authorized official
• Kinstead Provider Group, P.a.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1568338473

  MD, Psychiatric/Mental Health

  Medicare reassignment NPD
• Shock Trauma Associates, P.a.

  • Emergency Care Clinic/Center
  • Baltimore, MD
  • NPI 1679512909

  MD

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1104281484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 DEDE RD STE 4",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 DEDE RD STE 4",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482349",
            "telephone_number": "443-487-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGASSOUBA",
        "first_name": "MELISSA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185466",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R185466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Irene Kuo, D.D.S.
• John Kupsa, ATP
• Daniel Christopher Mack, O.T.R.
• Magass Family Medicine & Urgent Care
• Magass Urgent Care, LLC
• Moriba Magassouba, PA-C
• Abraham Mathew, MD
• Susan R McFadden, MS, LCPC
• Dominique Miller
• Helen Anita Miller, PT

• All providers in Finksburg, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.