Individual provider Active NPI

Pooja Rani, PMHNP-BC

  • Nurse Practitioner
  • Jessup, MD
National Provider Identifier
1710848775
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R207481 Issued in MD
Practice address
8017 Gabriels CT
Jessup, MD 20794-3959
Phone
(301) 828-0966
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 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 R207481 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R207481 MD

Addresses

Primary practice location

8017 Gabriels CT
Jessup, MD 20794-3959

Mailing address

8017 Gabriels CT
Jessup, MD 20794-3959

Other practice location 1

12073 Tech Rd Ste B
Silver Spring, MD 20904-7874
Phone (301) 593-1315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20260109000657 DC Practitioner - Nurse Practitioner 1557847563 Reassigns benefits to 1 organization
I20260127002802 MD Practitioner - Nurse Practitioner 1557847563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green Ridge Behavioral Health, LLCGroup PAC ID 3476685181, 10 clinicians
Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 clinicians

Practice addresses (Care Compare)

1395 Piccard Dr
Suite 320
Rockville, MD 20850-4349
Phone (240) 683-6202

4101 Old National Pike
Pleasant View NH
Mt Airy, MD 21771-4115
Phone (301) 831-5850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R207481MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychogeriatric Services LLC Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Green Ridge Behavioral Health, LLC CurrentSince Nov 1, 2025 Accepting new patients
Greenview Behavioral Health LLC Psychiatric/Mental Health Current Accepting new patients

Locations

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

1395 Piccard Dr
Ste 320
Rockville, MD 20850
Phone (240) 683-6202

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1710848775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 GABRIELS CT",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207943959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8017 GABRIELS CT",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207943959",
            "telephone_number": "301-828-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12073 Tech Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209047874",
            "country_code": "US",
            "telephone_number": "301-593-1315",
            "fax_number": "301-681-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANI",
        "first_name": "POOJA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R207481",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R207481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jessup, MD

Sources for this page

Verify at the official NPI Registry.