Individual provider Active NPI

Prasanna Basnet, NP-C

  • Family Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1134511017
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC004358 Issued in MD
Practice address
12321 Middlebrook Rd Ste 101
Germantown, MD 20874-1512
Phone
(301) 428-1070
Fax
(301) 428-3192
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127548 TX
Family Nurse Practitioner 363LF0000X AC004358 MD Primary

Addresses

Primary practice location

12321 Middlebrook Rd Ste 101
Germantown, MD 20874-1512

Mailing address

7620 Old Georgetown Rd Apt 128
Bethesda, MD 20814-6151
Phone (512) 568-1380

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
I20230508001813 DC Practitioner - Nurse Practitioner 2860712643 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC004358MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manbir Takhar, P.C. CurrentSince Apr 15, 2023 Accepting new patients
Tru Health Group, PC Current Accepting new patients
Medical Access P.C. CurrentSince Apr 15, 2023 Accepting new patients

Locations

12321 Middlebrook Rd
Germantown, MD 20874
Phone (301) 741-3814

12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

Organizations & group practices 3

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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1134511017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 OLD GEORGETOWN RD APT 128",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146151",
            "telephone_number": "512-568-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12321 MIDDLEBROOK RD STE 101",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741512",
            "telephone_number": "301-428-1070",
            "fax_number": "301-428-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASNET",
        "first_name": "PRASANNA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127548",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC004358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.