Mebratie Nigussie

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024192816 Issued in VA

Practice address

3949 Hartlake St
Woodbridge, VA 22192-7425

Phone

(703) 909-9610

NPI assigned

Apr 14, 2025

Last updated

Apr 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Adfinitas Health at Upper Chesapeake LLCGroup PAC ID 6305202540, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Adfinitas Health at Upper Chesapeake, LLC

  • Hospitalist Physician
  • Bel Air, MD
  • NPI 1164134037
  Medicare reassignment Care Compare group
• Medstar Medical Group II LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Washington, DC
  • NPI 1205562816
  NPD

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1205621661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 HARTLAKE ST",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 HARTLAKE ST",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927425",
            "telephone_number": "703-909-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGUSSIE",
        "first_name": "MEBRATIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024192816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trang Nguyen, PHARM. D
• Van-Anh T Nguyen, O.D.
• Daddy Brian Ngwa Afanwi
• Zackaria Niazi, D.O.
• Rebecca Ann Nickerson
• Zohreh Nikkhah Abyaneh, MD
• Nile Supportive Living LLC
• Raymond R. Niles II, DDS
• Nimos Light LLC
• Leigh Ann Nitz, CPM, LM

• Acute Care Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Acute Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.