JULIENNE EBONGUE
NPI 1255970380
Nurse Practitioner - Family in Silver Spring, MD

Active since January 06, 2020PECOS EnrolledAccepts Medicare Assignment
10313 GEORGIA AVE STE 307, SILVER SPRING, MD 20902(301) 754-2222 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2025, Jan 6, 2020 (2 updates tracked since 2020).

About Julienne Ebongue NPPES

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

JULIENNE EBONGUE (NPI 1255970380) is an individual family provider in Silver Spring, Maryland, licensed in Maryland (R205045) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255970380
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJULIENNE EBONGUE
Location Address10313 GEORGIA AVE STE 307Silver Spring, MD 20902-5006
Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 6, 2020
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1255970380 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
License Licensed in MD · R205045
10313 GEORGIA AVE STE 307, Silver Spring, MD 20902

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Julienne Ebongue is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476952300
PECOS Enrollment IDI20210526002369, I20250725001633
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
10313 GEORGIA AVE STE 307
SILVER SPRING, MD 20902
Family Medicine (Adult Medicine)
10313 GEORGIA AVE STE 307
SILVER SPRING, MD 20902
Nurse Practitioner (Adult Health)
10313 GEORGIA AVE STE 307
SILVER SPRING, MD 20902

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 Julienne Ebongue's NPI number?

The NPI number for Julienne Ebongue is 1255970380. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is Julienne Ebongue located?

Julienne Ebongue practices at 10313 Georgia Ave Ste 307, Silver Spring, MD 20902. The listed phone number is (301) 754-2222.

What is Julienne Ebongue's specialty?

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

Is Julienne Ebongue enrolled in Medicare?

Yes. Julienne Ebongue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Julienne Ebongue was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.