Individual provider Active NPI

Dawn R Mossburg, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1821131939
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
R100955 Issued in MD
Practice address
97 Thomas Johnson Dr
Suite 101
Frederick, MD 21702-4373
Phone
(301) 663-4545
Fax
(301) 663-1709
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R100955 MD Primary

Addresses

Primary practice location

97 Thomas Johnson Dr
Suite 101
Frederick, MD 21702-4373

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dawn.mossburg.p2@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20140912001000 MD Practitioner - Nurse Practitioner 6709005374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Maryland School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171

97 Thomas Johnson Dr
Suite 101
Frederick, MD 21702-4379
Phone (301) 663-4545

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. Current Accepting new patients
Capital Women's Care, L.L.C. CurrentSince Jun 11, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

97 Thomas Johnson Dr
Ste 101
Frederick, MD 21702
Phone (301) 663-4545

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

Interoperability endpoints

  • Direct secure messaging: dawn.mossburg.p1@direct.cwcare.nextgenshare.com
  • Direct secure messaging: dawn.mossburg.p2@direct.cwcare.nextgenshare.com

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1821131939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 THOMAS JOHNSON DR",
            "address_2": "SUITE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024373",
            "telephone_number": "301-663-4545",
            "fax_number": "301-663-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSBURG",
        "first_name": "DAWN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R100955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawn.mossburg.p2@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "97 Thomas Johnson Dr",
            "address_2": "Suite 101",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.