Individual provider Active NPI

Wanda C Caesar, CRNP-FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1316288699
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R133232 Issued in MD
Practice address
6700 Wisconsin Ave
Bethesda, MD 20815-5302
Phone
(301) 656-1358
Fax
(301) 576-4576
NPI assigned
Mar 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN64224 DC
Family Nurse Practitioner 363LF0000X R133232 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R133232 MD Primary

Addresses

Primary practice location

6700 Wisconsin Ave
Bethesda, MD 20815-5302

Mailing address

5801 Belair Rd
Baltimore, MD 21206-2608
Phone (240) 601-0237

Other practice location 1

5801 Belair Rd
Baltimore, MD 21206-2608
Phone (240) 601-0237

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
I20130515000518 MD Practitioner - Nurse Practitioner 7517104318 Reassigns benefits to 3 organizations
I20130515000556 DC Practitioner - Nurse Practitioner 7517104318 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crossroads Psychological Associates LLCGroup PAC ID 9830234962, 4 clinicians
Mbi Health Services LLCGroup PAC ID 5294990453, 20 clinicians

Practice addresses (Care Compare)

10784 Hickory Ridge Rd
Columbia, MD 21044-3646
Phone 410964042511

4130 Hunt PL NE
Washington, DC 20019-3565
Phone (202) 388-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R133232MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Health Services, LLC CurrentSince Jul 10, 2019 Accepting new patients
U N I Medical Care Inc CurrentSince Feb 6, 2018 Accepting new patients
Stewa Health Services LLC CurrentSince Jun 21, 2024 Accepting new patients
Crossroads Psychological Associates LLC CurrentSince Nov 13, 2023 Accepting new patients
Mbi Health Services LLC CurrentSince Nov 3, 2018 Accepting new patients

Locations

4017 Minnesota Ave NE
Washington, DC 20019
Phone (202) 388-9202

2759 Martin Luther King Jr Ave SE
Washington, DC 20032
Phone (202) 827-9961

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

2759 Martin Luther King Jr Ave SE
Ste 301
Washington, DC 20032
Phone (202) 827-9961

7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348

6030 Daybreak Cir
Ste A150179
Clarksville, MD 21029

10784 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 964-0425

11236 Robinwood Dr
Ste 101
Hagerstown, MD 21742
Phone (240) 313-4242

7918 Jones Branch Dr
Fl 4
Tysons, VA 22102
Phone (703) 424-9024

Organizations & group practices 7

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": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1316288699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062608",
            "telephone_number": "240-601-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208155302",
            "telephone_number": "301-656-1358",
            "fax_number": "301-576-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Belair Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212062608",
            "country_code": "US",
            "telephone_number": "240-601-0237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAESAR",
        "first_name": "WANDA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "CRNP-FNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN64224",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R133232",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R133232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.