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ANANDA HOLISTICS AND WELLNESS CLINIC LLC
NPI 1063379535
Nurse Practitioner - Family in College Park, MD

Active since January 07, 2026
10105 BALTIMORE AVE APT 3401, COLLEGE PARK, MD 20740(240) 622-5158(667) 401-1046 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ananda Holistics And Wellness Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANANDA HOLISTICS AND WELLNESS CLINIC LLC (NPI 1063379535) is a healthcare organization registered as a family in College Park, Maryland and active in the NPI registry since January 2026. The organization lists Olga M Hall, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063379535
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameANANDA HOLISTICS AND WELLNESS CLINIC LLC
Location Address10105 BALTIMORE AVE APT 3401College Park, MD 20740-4231
Mailing Address2450 Rye St Apt 843Baltimore, MD 21230-5618 · (240) 622-5158 · Fax (667) 401-1046
Phone(240) 622-5158
Fax(667) 401-1046
Organization SubpartNo
Authorized OfficialOlga M HallNurse Practitioner · (410) 937-1766
Enumeration DateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
✔ NPI 1063379535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
10105 BALTIMORE AVE APT 3401, College Park, MD 20740
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ananda Holistics And Wellness Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ananda Holistics And Wellness Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Olga Hall, FNP-BC
Nurse Practitioner
NPI 1528621166
8118 GOOD LUCK RD
Lanham, MD 20706
(301) 552-8118
✔ PECOS4.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ananda Holistics And Wellness Clinic LLC's NPI number?

The NPI number for Ananda Holistics And Wellness Clinic LLC is 1063379535. It was assigned to this organization in the NPPES registry on January 7, 2026.

Where is Ananda Holistics And Wellness Clinic LLC located?

Ananda Holistics And Wellness Clinic LLC is located at 10105 Baltimore Ave Apt 3401, College Park, MD 20740. The listed phone number is (240) 622-5158.

What is Ananda Holistics And Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ananda Holistics And Wellness Clinic LLC enrolled in Medicare?

Yes. Ananda Holistics And Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ananda Holistics And Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ananda Holistics And Wellness Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ananda Holistics And Wellness Clinic LLC was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.