AVITA MEDICAL CARE
NPI 1942175658
Nurse Practitioner - Family in Bethesda, MD

Active since October 10, 2025
6701 DEMOCRACY BLVD STE 300, BETHESDA, MD 20817(800) 484-2115(800) 484-2115 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Avita Medical Care NPPES

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

AVITA MEDICAL CARE (NPI 1942175658) is a healthcare organization registered as a family in Bethesda, Maryland and active in the NPI registry since October 2025. The organization lists Laura Lee Minor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942175658
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAVITA MEDICAL CARE
Location Address6701 DEMOCRACY BLVD STE 300Bethesda, MD 20817-7500
Mailing Address6701 Democracy Blvd Ste 300Bethesda, MD 20817-7500 · (800) 484-2115 · Fax (800) 484-2115
Fax(800) 484-2115
Organization SubpartNo
Authorized OfficialLaura Lee MinorCeo · (202) 486-2881
Enumeration DateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1942175658 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
6701 DEMOCRACY BLVD STE 300, Bethesda, MD 20817

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avita Medical Care 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 Avita Medical Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1831812502
7828 HANOVER PKWY APT T1
Greenbelt, MD 20770
(202) 486-2881
✔ PECOS15 mi

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 Avita Medical Care's NPI number?

The NPI number for Avita Medical Care is 1942175658. It was assigned to this organization in the NPPES registry on October 10, 2025.

Where is Avita Medical Care located?

Avita Medical Care is located at 6701 Democracy Blvd Ste 300, Bethesda, MD 20817. The listed phone number is (800) 484-2115.

What is Avita Medical Care's specialty?

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

Is Avita Medical Care enrolled in Medicare?

Yes. Avita Medical Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avita Medical Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Avita Medical Care. 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 Avita Medical Care was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.