Individual provider Active NPI

Hyunji Edward, CRNP

  • Family Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1316480171
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016010555 Issued in MD
Practice address
6710 Mallery Drive
Lanham, MD 20706
Phone
(301) 552-2000
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 2016010555 MD Primary

Addresses

Primary practice location

6710 Mallery Drive
Lanham, MD 20706

Mailing address

6710 Mallery Drive
Lanham, MD 20706

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170420000913 DC Practitioner - Nurse Practitioner 4082990494 Reassigns benefits to 2 organizations
I20170420001086 MD Practitioner - Nurse Practitioner 4082990494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2620 Riva Rd
Annapolis, MD 21401-7305
Phone (410) 573-9560

8200 Good Luck Rd
Lanham, MD 20706-3511
Phone (301) 623-4350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016010555MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Maryland Medical First P.a. CurrentSince Feb 24, 2021 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients

Locations

2620 Riva Rd
#C
Annapolis, MD 21401

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

175 Harry S Truman Pkwy
Annapolis, MD 21401
Phone (410) 573-9000

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

8200 Good Luck Rd
Lanham, MD 20706
Phone (301) 552-2000

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

Interoperability endpoints

  • Direct secure messaging: hedward153613@direct.aahs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

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": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1316480171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 MALLERY DRIVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 MALLERY DRIVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706",
            "telephone_number": "301-552-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARD",
        "first_name": "HYUNJI",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2016010555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.