Individual provider Active NPI

Ella Gang, NP

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1346707783
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R198936 Issued in MD
Practice address
14999 Health Center Dr Ste 202
Bowie, MD 20716-1079
Phone
(301) 377-1836
Fax
(301) 218-4002
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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 R198936 MD Primary

Addresses

Primary practice location

14999 Health Center Dr Ste 202
Bowie, MD 20716-1079

Mailing address

14999 Health Center Dr Ste 202
Bowie, MD 20716-1079
Phone (301) 377-1836

Other practice location 1

831 University Blvd E Ste 26
Silver Spring, MD 20903-2920
Phone (301) 249-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20190815002111 DC Practitioner - Nurse Practitioner 4082941885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
72.91 of 100Reported as group
Quality
50.88
Improvement activities
40
Cost
69.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Jul 1, 2019 Accepting new patients
Bowie Town Behavioral Services, Inc Past Accepting new patients

Locations

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Organizations & group practices 2

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1346707783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR STE 202",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161079",
            "telephone_number": "301-377-1836",
            "fax_number": "301-218-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR STE 202",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161079",
            "telephone_number": "301-377-1836",
            "fax_number": "301-218-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 University Blvd E Ste 26",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209032920",
            "country_code": "US",
            "telephone_number": "301-249-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANG",
        "first_name": "ELLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R198936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.