ADVANCED TELE CLINIC
NPI 1902594179
Nurse Practitioner - Family in Greenbelt, MD
About Advanced Tele Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED TELE CLINIC (NPI 1902594179), doing business as Advanced Wellness Clinic, is a healthcare organization registered as a family in Greenbelt, Maryland and active in the NPI registry since April 2023. The organization lists Banis Githinji, Dnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Tele Clinic 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 Advanced Tele Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Advanced Tele Clinic's NPI number?
The NPI number for Advanced Tele Clinic is 1902594179. It was assigned to this organization in the NPPES registry on April 26, 2023. The provider is doing business as Advanced Wellness Clinic.
Where is Advanced Tele Clinic located?
Advanced Tele Clinic is located at 6301 Ivy Ln Ste 414, Greenbelt, MD 20770. The listed phone number is (240) 930-7466.
What is Advanced Tele Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Advanced Tele Clinic enrolled in Medicare?
Yes. Advanced Tele Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Tele Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advanced Tele Clinic. 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 Advanced Tele Clinic was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Advanced Tele Clinic · NPI 1902594179
Family organization in Greenbelt, Maryland. Organization record, active in the CMS NPPES registry since April 26, 2023.
## Identity
- **NPI:** 1902594179 (Entity type: Organization)
- **Enumerated:** April 26, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Advanced Wellness Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Banis Githinji, DNP
## Practice location
- **Address:** 6301 IVY LN STE 414, Greenbelt, MD 20770-6357
- **Phone:** (240) 930-7466 · **Fax:** (240) 692-0126
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902594179) · Data from the CMS NPPES public registry.