REBECCA J. MYSIUK CRNP
NPI 1730711748
Nurse Practitioner - Family in Gambrills, MD
About Rebecca J. Mysiuk Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA J. MYSIUK CRNP (NPI 1730711748) is an individual family provider in Gambrills, Maryland, licensed in Maryland (R202955) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rebecca J. Mysiuk Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rebecca Mysiuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockville, MD 20850
- Reassigned Medicare billing, District of Columbia enrollment
- 8 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21054 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAMBRILLS, MD 21054
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 Rebecca Mysiuk's NPI number?
The NPI number for Rebecca Mysiuk is 1730711748. It was assigned to this individual provider in the NPPES registry on February 7, 2020.
Where is Rebecca Mysiuk located?
Rebecca Mysiuk practices at 2339 Maytime Dr, Gambrills, MD 21054. The listed phone number is (410) 241-1806.
What is Rebecca Mysiuk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rebecca Mysiuk enrolled in Medicare?
Yes. Rebecca Mysiuk is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rebecca Mysiuk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Mysiuk reassigns Medicare benefits to Ctg LLC (Rockville, MD). The 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 Rebecca Mysiuk'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 Rebecca Mysiuk was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Rebecca J. Mysiuk, CRNP · NPI 1730711748
Family physician in Gambrills, Maryland. Individual provider, active in the CMS NPPES registry since February 7, 2020.
## Identity
- **NPI:** 1730711748 (Entity type: Individual)
- **Enumerated:** February 7, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R202955 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2339 MAYTIME DR, Gambrills, MD 21054-1434
- **Phone:** (410) 241-1806
## 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:** Ctg LLC (NPI 1376914481, Rockville, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2020
- **Other identifiers:** Medicaid F11190441 (MD)
---
Source: [NPI Profile](https://npiprofile.com/npi/1730711748) · Data from the CMS NPPES public registry.