Individual provider Active NPI

Rufina Ewane, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1194128645
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R223331 Issued in MD
Practice address
8915 Woodburn CT
Lanham, MD 20706-3520
Phone
(301) 358-1765
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1005489 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R223331 MD Primary

Addresses

Primary practice location

8915 Woodburn CT
Lanham, MD 20706-3520

Mailing address

8915 Woodburn CT
Lanham, MD 20706-3520
Phone (301) 358-1765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220217001487 MD Practitioner - Nurse Practitioner 4981097854 Reassigns benefits to 1 organization
I20230807000671 DC Practitioner - Nurse Practitioner 4981097854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians
Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

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

4340 Connecticut Ave NW
Washington, DC 20008-2315
Phone (301) 869-9776

6020 Richmond Hwy
Suite 102
Alexandria, VA 22303-2157
Phone (571) 308-6776

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPN1005489DCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc. CurrentSince Jan 17, 2022 Accepting new patients
Capital Healthcare PC CurrentSince Jun 21, 2023 Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Comprehensive Primary Care and Associates LLC CurrentSince Jan 12, 2026 Accepting new patients
Mosaic Community Services, Inc CurrentSince Jan 17, 2022 Accepting new patients
Capital Healthcare PC Dba Allcare Past Accepting new patients
Allcare Ga PC Past Accepting new patients
Mosaic Community Services, Inc. Past Accepting new patients

Locations

4340 Connecticut Ave NW
Ste C
Washington, DC 20008
Phone (443) 393-3657

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

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

15245 Shady Grove Rd
Ste 340
Rockville, MD 20850

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

Interoperability endpoints

  • Direct secure messaging: rufina.ewane.1@15482.direct.athenahealth.com

Organizations & group practices 8

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1194128645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 WOODBURN CT",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063520",
            "telephone_number": "301-358-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 WOODBURN CT",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063520",
            "telephone_number": "301-358-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWANE",
        "first_name": "RUFINA",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1005489",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R223331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.