Individual provider Active NPI

Rebecca Etta Ngassa, CRNP, DNP

  • Family Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1427820265
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R231896 Issued in MD
Practice address
14503 Main St Ste a
Upper Marlboro, MD 20772-3010
Phone
(240) 774-2880
Fax
(949) 703-8269
NPI assigned
Oct 25, 2023
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 R231896 MD Primary

Addresses

Primary practice location

14503 Main St Ste a
Upper Marlboro, MD 20772-3010

Mailing address

7809 Wisconsin Ave
Bethesda, MD 20814-3523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240228002253 DC Practitioner - Nurse Practitioner 7719322882 Reassigns benefits to 3 organizations
I20240620002892 MD Practitioner - Nurse Practitioner 7719322882 Reassigns benefits to 1 organization
I20260217002362 TX Practitioner - Nurse Practitioner 7719322882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14503 Main St
RM a
Upper Marlboro, MD 20772-3010
Phone (240) 375-0384

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R231896MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. CurrentSince Feb 1, 2026 Accepting new patients
Minuteclinic LLC Family CurrentSince May 24, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Utopia Medical LLC Family CurrentSince Oct 18, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Rooted Healthcare, LLC CurrentSince Jan 4, 2025 Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

7809 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 896-9144

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

14503 Main St
Rm A
Upper Marlboro, MD 20772
Phone (240) 375-0384

14503 Main St
Ste A
Upper Marlboro, MD 20772
Phone (240) 774-2880

14503 Main St
Uppr Marlboro, MD 20772
Phone (301) 875-4934

1106 Business Pkwy S
Ste B
Westminster, MD 21157
Phone (410) 751-7771

405 N Center St
Ste 25
Westminster, MD 21157
Phone (717) 688-1485

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1427820265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14503 MAIN ST STE A",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723010",
            "telephone_number": "240-774-2880",
            "fax_number": "949-703-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGASSA",
        "first_name": "REBECCA",
        "middle_name": "ETTA",
        "name_prefix": "Dr.",
        "credential": "CRNP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R231896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.