Active NPI
John Bryan Pilariza Annang, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Arnold, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AC007109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCHope Psych Services LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC007109 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Services LLC | Current | Accepting new patients | |
| Hope Psych Services LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.