Individual provider Active NPI

Charles Besong, RN, DNP, MSN, FNP-BC

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1720432172
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1025737 Issued in DC
Practice address
3341 Benning Rd NE
Washington, DC 20019-1502
Phone
(202) 543-0387
NPI assigned
Apr 21, 2016
Last updated
Jun 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R199032 MD
Family Nurse Practitioner 363LF0000X RN1025737 DC Primary

Addresses

Primary practice location

3341 Benning Rd NE
Washington, DC 20019-1502

Mailing address

3323 Beaverwood LN
Silver Spring, MD 20906-3064
Phone (240) 491-2868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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
I20160519000418 MD Practitioner - Nurse Practitioner 3870882533 Reassigns benefits to 2 organizations
I20160519000726 DC Practitioner - Nurse Practitioner 3870882533 Reassigns benefits to 3 organizations
I20260515001849 VA Practitioner - Nurse Practitioner 3870882533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Behavioral Health LLCGroup PAC ID 7214277839, 4 clinicians

Practice addresses (Care Compare)

13994 Baltimore Ave
Suite 102
Laurel, MD 20707-5087
Phone (301) 477-2128

13994 Baltimore Ave
Suite 102
Laurel, MD 20707-5173
Phone (301) 477-2128

9950 Oak Lea CT
Ellicott City, MD 21042-3638
Phone (301) 477-2128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1025737DCMDFamily Nurse Practitioner
R199032MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Behavioral Health LLC CurrentSince Mar 19, 2019 Accepting new patients
G & E Behavioral Health Services, LLC CurrentSince Jan 25, 2021 Accepting new patients
Vivis Family Medicine LLC CurrentSince Jan 3, 2026 Accepting new patients
Angel Gate Health Services LLC Current Accepting new patients
Psychogeriatric Services LLC CurrentSince Jul 1, 2016 Accepting new patients
G & E Behavioral Health Services, LLC CurrentSince Feb 14, 2021 Accepting new patients
Family Preservation Services Past Accepting new patients
Family Preservation Services of DC PastSince Jul 21, 2024 Accepting new patients

Locations

13994 Baltimore Ave
Ste 102
Laurel, MD 20707
Phone (240) 930-0811

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

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

Organizations & group practices 9

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1720432172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 BEAVERWOOD LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209063064",
            "telephone_number": "240-491-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191502",
            "telephone_number": "202-543-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESONG",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "RN, DNP, MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1025737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.