Andrea Bognanni Sebo, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R199491 Issued in MD

Practice address

120 S Hays St
Bel Air, MD 21014-3615

Phone

(410) 688-0615

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

Yes

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 MD

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matthew P Mardiney MD PCGroup PAC ID 7911163464, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Matthew P Mardiney MD PC

  • Allergy & Immunology Physician
  • Bel Air, MD
  • NPI 1174881098
  Medicare reassignment Care Compare group NPD
• Ydiprmc LLC

  dba TidalHealth Urgent Care

  • Urgent Care Clinic/Center
  • Salisbury, MD
  • NPI 1447783899
  Medicare reassignment NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1235900440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WHITEFORD RD",
            "city": "STREET",
            "state": "MD",
            "postal_code": "211541506",
            "telephone_number": "410-688-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S HAYS ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143615",
            "telephone_number": "410-688-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBO",
        "first_name": "ANDREA",
        "middle_name": "BOGNANNI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R199491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruta Teresa Scribner, DDS
• Sea Alliance LTD
• Sea Alliance LTD (Plumtree Pharmacy)
• Jessica Sebastian, PA-C
• Suzann Sebastiani
• Kelly Seckman, LCSW-C
• Rachel Marie Sedlak, OT
• Laura J Seed, M.D.
• Jennifer Michelle Seibel, PA-C
• Seidenberg Protzko Eye Associates

• Nurse Practitioner in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.