Individual provider Active NPI

Wendy Wang De Silva, GNP

  • Gerontology Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1649200825
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R175265 Issued in MD
Practice address
3110 Gracefield Rd
Silver Spring, MD 20904-1820
Phone
(301) 572-8340
NPI assigned
Jul 4, 2006
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 471109 CA
Gerontology Nurse Practitioner 363LG0600X R175265 MD Primary

Addresses

Primary practice location

3110 Gracefield Rd
Silver Spring, MD 20904-1820

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762

Other practice location 1

7051 Rockledge Dr
Bethesda, MD 20817-1680
Phone (301) 272-9830

Other practice location 2

711 Maiden Choice Ln
Catonsville, MD 21228-3632
Phone (410) 247-5602

Other practice location 3

8800 Walther Blvd
Parkville, MD 21234-9001
Phone (410) 882-3240

Other identifiers 10

IdentifierTypeStateIssuer
051012200MedicaidMD
8307572OtherEVERCARE
0060OtherBCBS OF DC
0943SE-891740-02OtherCAREFIRST BCBS OF MD
0943ER-891740-02OtherCAREFIRST BCBS OF MD
9680-0048OtherCAREFIRST BCBS OF DC
89174002OtherCAREFIRST MD
WNP11075BOtherCAPPIN
0060OtherBCBS DC
522096682004OtherTRICARE NORTH

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
I20070222000336 DC Practitioner - Nurse Practitioner 1355385949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3110 Gracefield Rd
Silver Spring, MD 20904-1820
Phone (301) 572-8340

7051 Rockledge Dr
Bethesda, MD 20817-1680
Phone (301) 272-9830

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
471109CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fried and Wilks, LLC CurrentSince Nov 1, 2011 Accepting new patients
Erickson Health Medical Group of Maryland PC Gerontology CurrentSince Jun 12, 2023 Accepting new patients
Erickson Health Medical Group of Maryland PC Nurse Practitioner CurrentSince Jun 12, 2023 Accepting new patients
Erickson Health Medical Group of Maryland PC Gerontology Past Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner Past Accepting new patients

Locations

7758 Wisconsin Ave
Ste 211
Bethesda, MD 20814

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

10 N Jefferson St
Ste 300
Frederick, MD 21701

10718 Potomac Tennis Ln
Potomac, MD 20854
Phone (202) 308-4992

3110 Gracefield Rd
Silver Spring, MD 20904
Phone (301) 572-8340

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27008/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1649200825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GRACEFIELD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041820",
            "telephone_number": "301-572-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7051 Rockledge Dr",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171680",
            "country_code": "US",
            "telephone_number": "301-272-9830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Maiden Choice Ln",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212283632",
            "country_code": "US",
            "telephone_number": "410-247-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 Walther Blvd",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212349001",
            "country_code": "US",
            "telephone_number": "410-882-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SILVA",
        "first_name": "WENDY",
        "middle_name": "WANG",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "471109",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R175265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051012200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "8307572",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC",
            "identifier": "0060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MD",
            "identifier": "0943SE-891740-02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MD",
            "identifier": "0943ER-891740-02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF DC",
            "identifier": "9680-0048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "89174002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WNP11075B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC",
            "identifier": "0060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH",
            "identifier": "522096682004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.