Individual provider Active NPI

John Bryan Pilariza Annang, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arnold, MD
National Provider Identifier
1003623927
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC007109 Issued in MD
Practice address
273 Peninsula Farm Rd Ste F
Arnold, MD 21012-1012
Phone
(443) 827-7113
Fax
(443) 200-0265
NPI assigned
Dec 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC007109 MD Primary

Addresses

Primary practice location

273 Peninsula Farm Rd Ste F
Arnold, MD 21012-1012

Mailing address

1309 Coffeen Ave Ste 1200
Sheridan, WY 82801-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250206002090 MD Practitioner - Nurse Practitioner 7719417773 Reassigns benefits to 2 organizations
I20250206002473 DC Practitioner - Nurse Practitioner 7719417773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Services LLCGroup PAC ID 2466600747, 3 clinicians
Hope Psych Services LLCGroup PAC ID 7911339270, 12 clinicians

Practice addresses (Care Compare)

223 7TH St NE
Washington, DC 20002-7045
Phone (202) 683-2823

43 W McKinsey Rd
Severna Park, MD 21146-4556
Phone (410) 544-7200

4925 Battery LN
Bethesda, MD 20814-4978
Phone (443) 346-0067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC007109MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Services LLC CurrentSince Jan 30, 2025 Accepting new patients
Hope Psych Services LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

4601 Martin Luther King Jr Ave SW
Washington, DC 20032
Phone (202) 373-5840

223 7th St NE
Washington, DC 20002
Phone (202) 543-4800

273 Peninsula Farm Rd
Ste F
Arnold, MD 21012
Phone (410) 647-8866

2535 Evergreen Rd
Gambrills, MD 21054
Phone (410) 941-3119

2201 Colston Dr
Silver Spring, MD 20910
Phone (301) 495-7366

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1003623927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 1200",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 PENINSULA FARM RD STE F",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121012",
            "telephone_number": "443-827-7113",
            "fax_number": "443-200-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNANG",
        "first_name": "JOHN BRYAN",
        "middle_name": "PILARIZA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC007109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.