Individual provider Active NPI

Anna Ngwisah Bolima, DNP

  • Family Nurse Practitioner
  • Burtonsville, MD
National Provider Identifier
1134976533
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R168952 Issued in MD
Practice address
14408 Burslem Ter
Burtonsville, MD 20866-2014
Phone
(301) 792-3797
NPI assigned
May 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R168952 MD Primary

Addresses

Primary practice location

14408 Burslem Ter
Burtonsville, MD 20866-2014

Mailing address

14408 Burslem Ter
Burtonsville, MD 20866-2014
Phone (301) 792-3797

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
I20250909001791 DC Practitioner - Nurse Practitioner 1557863354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14408 Burslem Ter
Burtonsville, MD 20866-2014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R168952MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goldstar Family Practice Family Medicine CurrentSince Jun 19, 2025 Accepting new patients

Locations

7404 Executive Pl
Ste 100
Lanham, MD 20706
Phone (240) 260-3827

Organizations & group practices 1

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": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1134976533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14408 BURSLEM TER",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208662014",
            "telephone_number": "301-792-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14408 BURSLEM TER",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208662014",
            "telephone_number": "301-792-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIMA",
        "first_name": "ANNA",
        "middle_name": "NGWISAH",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R168952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

Verify at the official NPI Registry.