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MRS. NNEKA BAGWELL APRN, FNP
NPI 1417436684
Nurse Practitioner - Family in Upper Marlboro, MD

Active since August 08, 2018PECOS EnrolledAccepts Medicare Assignment
13806 SHANNOCK LN, UPPER MARLBORO, MD 20774(202) 716-2978 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2021, Aug 8, 2018 (2 updates tracked since 2018).

About Mrs. Nneka Bagwell Aprn, Fnp NPPES

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

MRS. NNEKA BAGWELL APRN, FNP (NPI 1417436684) is an individual family provider in Upper Marlboro, Maryland, licensed in Maryland (188563) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417436684
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NNEKA BAGWELLCredential: APRN, FNP
Location Address13806 SHANNOCK LNUpper Marlboro, MD 20774-8468
Mailing Address13806 Shannock LnUpper Marlboro, MD 20774-8468 · (202) 716-2978
Phone(202) 716-2978
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 8, 2018
Last NPPES UpdateMay 28, 20212 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1417436684 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 · 188563
13806 SHANNOCK LN, Upper Marlboro, MD 20774
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nneka Bagwell Aprn, Fnp 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 ID4789925702
PECOS Enrollment IDI20190401000853, I20190912003451, I20231222003190
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nneka Bagwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
4.0 mi
Ambulatory Surgical
1221 MERCANTILE LN
Largo, MD 20774
NPI 1366781700 (301) 618-5500
Medstar Urgent Care, LLC
19 mi
Urgent Care
11915 GEORGIA AVE
Wheaton, MD 20902
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 309 clinicians in this Medicare group
NPI 1871843409 (301) 942-4505
Harcart Health Holdings, LLC
22 mi
Emergency Medicine
12220 ROCKVILLE PIKE
Rockville, MD 20852
  • Reassigned Medicare billing, Maryland enrollment
  • 83 clinicians in this Medicare group
NPI 1912911215 (301) 881-5000

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20774 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.

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 Nneka Bagwell's NPI number?

The NPI number for Nneka Bagwell is 1417436684. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Nneka Bagwell located?

Nneka Bagwell practices at 13806 Shannock Ln, Upper Marlboro, MD 20774. The listed phone number is (202) 716-2978.

What is Nneka Bagwell's specialty?

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

Is Nneka Bagwell enrolled in Medicare?

Yes. Nneka Bagwell 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.

Which organizations bill Medicare for Nneka Bagwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nneka Bagwell reassigns Medicare benefits to 3 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Largo, MD), Medstar Urgent Care, LLC (Wheaton, MD) and Harcart Health Holdings, LLC (Rockville, 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 Nneka Bagwell'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 Nneka Bagwell was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.