Individual provider Active NPI

Melissa R Barksdale, C.R.N.P.

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1174927461
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R137507 Issued in MD
Practice address
1324 Paddock LN
Bowie, MD 20716-1808
Phone
(202) 297-1154
NPI assigned
Oct 15, 2014
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 R137507 MD Primary

Addresses

Primary practice location

1324 Paddock LN
Bowie, MD 20716-1808

Mailing address

1324 Paddock LN
Bowie, MD 20716-1808
Phone (202) 297-1154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20141217001845 MD Practitioner - Nurse Practitioner 5890018105 Reassigns benefits to 3 organizations
I20141219000718 DC Practitioner - Nurse Practitioner 5890018105 Reassigns benefits to 6 organizations
I20210406001083 VA Practitioner - Nurse Practitioner 5890018105

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

4407 Hartwick Rd
College Park, MD 20740-3209
Phone (301) 869-9776

6230 Central Ave
Capitol Heights, MD 20743-6128
Phone (240) 913-5800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R137507MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics Rehabilitative Services LLC CurrentSince Sep 29, 2015 Accepting new patients
Minuteclinic LLC Family CurrentSince Oct 27, 2014 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 1, 2019 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Dec 16, 2019 Accepting new patients
BC Wholistic Health Care CurrentSince Feb 25, 2025 Accepting new patients
Capital Healthcare PC CurrentSince Nov 1, 2025 Accepting new patients
Maryland Oncology Hematology, P.a. CurrentSince Dec 16, 2019 Accepting new patients
Comprehensive Primary Care and Associates LLC CurrentSince Nov 1, 2025 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Jan 1, 2019 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 19, 2019 Accepting new patients
Capital Healthcare PC Dba Allcare Past Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

228 7th St SE
Washington, DC 20003
Phone (202) 698-0795

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

4407 Hartwick Rd
Ste 13
College Park, MD 20740
Phone (240) 238-4260

8205 Snowden River Pkwy
Columbia, MD 21045
Phone (410) 290-9990

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

15245 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (667) 303-1042

15245 Shady Grove Rd
Ste 340
Rockville, MD 20850

15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

Interoperability endpoints

  • Direct secure messaging: melissa.barksdale.1@15482.direct.athenahealth.com
  • Direct secure messaging: melissa.barksdale@mdonc.ikm.direct-ci.com

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1174927461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 PADDOCK LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161808",
            "telephone_number": "202-297-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 PADDOCK LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161808",
            "telephone_number": "202-297-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R137507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.