Active NPI
Erica Bessicks, NP
- Nurse Practitioner
- Elkton, MD
National Provider Identifier
1992415400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R216720
- Practice address
- 953 W Pulaski Hwy
Elkton, MD 21921-4714 - Phone
- (443) 485-6544
- NPI assigned
- Nov 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R216720 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R216720 | MD | |
| Nurse Practitioner | 363L00000X | R216720 | MD | Primary |
Addresses
Primary practice location
953 W Pulaski Hwy
Elkton, MD 21921-4714
Mailing address
953 W Pulaski Hwy
Elkton, MD 21921-4714
Phone (443) 485-6544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R216720 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1992415400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 W PULASKI HWY",
"city": "ELKTON",
"state": "MD",
"postal_code": "219214714",
"telephone_number": "443-485-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 W PULASKI HWY",
"city": "ELKTON",
"state": "MD",
"postal_code": "219214714",
"telephone_number": "443-485-6544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSICKS",
"first_name": "ERICA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-25",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R216720",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R216720",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R216720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.