Active NPI
Mesfin Wanna
- Primary Care Nurse Practitioner
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R242765
- Practice address
- 438 Northwest Dr
Silver Spring, MD 20901-4417 - Phone
- (571) 645-6767
- NPI assigned
- Sep 2, 2022
- Last updated
- Sep 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC DMV LLC | Current | Accepting new patients | |
| Ennoble HC DMV II LLC | Current | Accepting new patients | |
| Wanna PCP LLC | Primary Care | Current | Accepting new patients |
| Rahel G. Yirga MD PC | Current | Accepting new patients | |
| Ennoble HC DMV III LLC | Current | 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
- 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Silver Spring, MD
- NPI 1134002900
DC, VA
-
- Geriatric Medicine (Family Medicine) Physician
- Silver Spring, MD
- NPI 1922981695
DC, VA
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gaithersburg, MD
- NPI 1902149891
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Jewish Social Service Agency - Hospice
- Community Based Hospice Care Agency
- Rockville, MD
- NPI 1194832261
-
dba MedStar Health Home Care
- Home Health Agency
- Greenbelt, MD
- NPI 1154437879
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.