Active NPI
Roy Degrange Jr.
- Certified Registered Nurse Anesthetist
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R204452
- Practice address
- 400 W 7TH St
Frederick, MD 21701-4506 - Phone
- (250) 566-3300
- NPI assigned
- Jan 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R204452 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | R204452 | MD | Primary |
Addresses
Primary practice location
400 W 7TH St
Frederick, MD 21701-4506
Mailing address
6215 Margarita Way
Frederick, MD 21703-2894
Phone (301) 471-8912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3300
70 Sherry LN
Suite 101
Prince Frederick, MD 20678-3276
Phone (410) 889-2040
Hospital & facility affiliations
- Frederick Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.85 of 100
- Quality
- 57.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Company, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1871548156
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
DC, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1053942284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6215 MARGARITA WAY",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217032894",
"telephone_number": "301-471-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014506",
"telephone_number": "250-566-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRANGE",
"first_name": "ROY",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-27",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R204452",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R204452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.