Active NPI
Wanna PCP LLC
- Primary Care Nurse Practitioner
- Silver Spring, MD
National Provider Identifier
1407747900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- WANNA PCP LLC
- Practice address
- 438 Northwest Dr
Silver Spring, MD 20901-4417 - Phone
- (571) 645-6767
- NPI assigned
- Jul 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mesfin Wanna, AGNP
- Title
- Owner
- Phone
- (571) 645-6767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
438 Northwest Dr
Silver Spring, MD 20901-4417
Mailing address
438 Northwest Dr
Silver Spring, MD 20901-4417
Phone (571) 645-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752278400000",
"number": "1407747900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 NORTHWEST DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014417",
"telephone_number": "571-645-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 NORTHWEST DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014417",
"telephone_number": "571-645-6767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WANNA PCP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-12",
"last_updated": "2025-07-12",
"certification_date": "2025-07-11",
"status": "A",
"authorized_official_last_name": "WANNA",
"authorized_official_first_name": "MESFIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-645-6767",
"authorized_official_credential": "AGNP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.