Individual provider Active NPI

Mesfin Wanna

  • Primary Care Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1548981004
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R242765 Issued in MD
Practice address
438 Northwest Dr
Silver Spring, MD 20901-4417
Phone
(571) 645-6767
NPI assigned
Sep 2, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R242765 MD 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, VA, MD3 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
I20220921000230 DC Practitioner - Nurse Practitioner 8729463161 Reassigns benefits to 6 organizations
I20250203000356 VA Practitioner - Nurse Practitioner 8729463161 Reassigns benefits to 3 organizations
I20250224000112 MD Practitioner - Nurse Practitioner 8729463161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

Washington, DC 20002
Phone (862) 812-9010

Silver Spring, MD 20901
Phone (571) 645-6767

20130 Lakeview Ctr PLZ
Suite 400
Ashburn, VA 20147-5905
Phone (862) 812-9010

8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759-2683
Phone (973) 435-9463

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV LLC CurrentSince Sep 1, 2024 Accepting new patients
Ennoble HC DMV II LLC CurrentSince Oct 8, 2025 Accepting new patients
Wanna PCP LLC Primary Care CurrentSince Sep 2, 2025 Accepting new patients
Rahel G. Yirga MD PC CurrentSince Aug 8, 2022 Accepting new patients
Ennoble HC DMV III LLC CurrentSince Dec 30, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

1500 K St NW
Ofc 226A
Washington, DC 20005
Phone (862) 812-9010

8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001

962 Wayne Ave
Ste 250
Silver Spring, MD 20910
Phone (240) 744-0001

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

20130 Lakeview Center Plz
Ste 400
Ashburn, VA 20147
Phone (700) 865-2144

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFJAED/Endpoint/IFJAED

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1548981004",
    "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": {
        "last_name": "WANNA",
        "first_name": "MESFIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R242765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.