Individual provider Active NPI

Lucy Eyombo Ekassi, NP

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1902675978
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R139691 Issued in MD
Practice address
2501 Musgrove Rd
Silver Spring, MD 20904-7128
Phone
(301) 890-5552
NPI assigned
Jan 1, 2024
Last updated
Jan 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R139691 MD Primary

Addresses

Primary practice location

2501 Musgrove Rd
Silver Spring, MD 20904-7128

Mailing address

13213 5TH St
Bowie, MD 20720-3609
Phone (301) 806-6986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20240425001697 MD Practitioner - Nurse Practitioner 0749620649 Reassigns benefits to 3 organizations
I20240425002990 DC Practitioner - Nurse Practitioner 0749620649 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R139691MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Feb 1, 2024 Accepting new patients
M Management Group LLC CurrentSince Oct 23, 2025 Accepting new patients
Chasly Medical Clinic LLC Family CurrentSince Apr 6, 2025 Accepting new patients
M Management Group, LLC CurrentSince Oct 23, 2025 Accepting new patients
Chasly Medical Clinic LLC CurrentSince Dec 14, 2025 Accepting new patients
Post Acute Health Care Services LLC CurrentSince Dec 20, 2025 Accepting new patients

Locations

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

100 Laurel Dr
Elkton, MD 21921
Phone (410) 398-8800

3000 McComas Ave
Kensington, MD 20895
Phone (301) 491-3090

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2501 Musgrove Rd
Silver Spring, MD 20904
Phone (301) 890-5552

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700

4011 Randolph Rd
Wheaton, MD 20902
Phone (301) 933-2500

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

Organizations & group practices 8

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": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1902675978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13213 5TH ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203609",
            "telephone_number": "301-806-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 MUSGROVE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047128",
            "telephone_number": "301-890-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKASSI",
        "first_name": "LUCY",
        "middle_name": "EYOMBO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R139691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.