Individual provider Active NPI

Nancy Hartman, CRNP-ADULT

  • Adult Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1073871687
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R083765 Issued in MD
Practice address
11119 Rockville Pike Ste 207
Rockville, MD 20852-3143
Phone
(301) 951-3606
Fax
(833) 464-4011
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R083765 MD Primary

Addresses

Primary practice location

11119 Rockville Pike Ste 207
Rockville, MD 20852-3143

Mailing address

11119 Rockville Pike Ste 207
Rockville, MD 20852-3143
Phone (301) 951-3606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200709000287 DC Practitioner - Nurse Practitioner 3577784586 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Docdx Com IncGroup PAC ID 4486020054, 2 clinicians
Med-Ped Health Care LLCGroup PAC ID 0941108237, 6 clinicians

Practice addresses (Care Compare)

11119 Rockville Pike
Suite 207
Rockville, MD 20852-3143
Phone (301) 951-3606

6201 Greenbelt Rd
Suite M16
Berwyn Heights, MD 20740-2333
Phone (301) 441-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R083765MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Docdx Com Inc CurrentSince Jul 1, 2022 Accepting new patients
Express Healthcare, LLC CurrentSince Mar 1, 2024 Accepting new patients
Med-Ped Health Care LLC CurrentSince Mar 1, 2024 Accepting new patients
Mansfield Kaseman Health Clinic, LLC CurrentSince Mar 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Express Healthcare, LLC PastSince Mar 1, 2024 Accepting new patients
Jivana LLC Past Accepting new patients

Locations

6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400

6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112

4938 Hampden Ln
Bethesda, MD 20814
Phone (202) 753-9859

8347 Cherry Ln
Laurel, MD 20707

8 W Middle Ln
Rockville, MD 20850
Phone (301) 917-6800

11119 Rockville Pike
Ste 207
Rockville, MD 20852
Phone (301) 231-4904

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15165/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1073871687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE STE 207",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-951-3606",
            "fax_number": "334-644-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE STE 207",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-951-3606",
            "fax_number": "833-464-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "NANCY",
        "credential": "CRNP-ADULT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R083765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.