ANISHA CHAKKACHERIL NINAN CRNP
NPI 1336631886
Nurse Practitioner - Family in Laurel, MD
About Anisha Chakkacheril Ninan Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANISHA CHAKKACHERIL NINAN CRNP (NPI 1336631886) is an individual family provider in Laurel, Maryland, licensed in Maryland (R235759) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anisha Chakkacheril Ninan Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Anisha Ninan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Laurel, MD 20707
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1790523249 (Maryland)
- 109 clinicians in this Medicare group
Columbia, MD 21044
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAUREL, MD 20707
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 Anisha Ninan's NPI number?
The NPI number for Anisha Ninan is 1336631886. It was assigned to this individual provider in the NPPES registry on May 31, 2018. The provider is also known as Anisha Chakkacheril Crnp.
Where is Anisha Ninan located?
Anisha Ninan practices at 7350 Van Dusen Rd Ste 210, Laurel, MD 20707. The listed phone number is (301) 395-5500.
What is Anisha Ninan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Anisha Ninan enrolled in Medicare?
Yes. Anisha Ninan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Anisha Ninan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anisha Ninan reassigns Medicare benefits to 2 organizations: Capital Digestive Care, LLC (Laurel, MD) and Johns Hopkins University (Columbia, MD). Each 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 Anisha Ninan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anisha Ninan was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Anisha Chakkacheril Ninan, CRNP · NPI 1336631886
Family physician in Laurel, Maryland. Individual provider, active in the CMS NPPES registry since May 31, 2018.
## Identity
- **NPI:** 1336631886 (Entity type: Individual)
- **Enumerated:** May 31, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R235759 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 7350 VAN DUSEN RD STE 210, Laurel, MD 20707-5268
- **Phone:** (301) 395-5500 · **Fax:** (301) 498-7346
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Capital Digestive Care, LLC (NPI 1326886870, Laurel, MD); Johns Hopkins University (NPI 1285453795, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336631886) · Data from the CMS NPPES public registry.