Active NPI
Marie Patricia Innocent, CRNA
- Certified Registered Nurse Anesthetist
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024166563
- Practice address
- 2101 E Jefferson St
Kaiser Permanente
Rockville, MD 20852-4908 - Phone
- (301) 816-7405
- Fax
- (540) 552-2938
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001196017 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | L6-0A10941 | DE | |
| Certified Registered Nurse Anesthetist | 367500000X | AC001376 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024166563 | VA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP2055252 | FL |
Addresses
Primary practice location
2101 E Jefferson St
Kaiser Permanente
Rockville, MD 20852-4908
Mailing address
309 Cedar Hill Dr
Blacksburg, VA 24060-6455
Phone (540) 552-2938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301921700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, MD, DE
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051209000395 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3678551371 | Reassigns benefits to 6 organizations |
| I20100428000701 | DC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3678551371 | Reassigns benefits to 11 organizations |
| I20170718000709 | MD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3678551371 | Reassigns benefits to 5 organizations |
| I20231109000015 | DE | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3678551371 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1860 Town Ctr Dr
Suite G100
Reston, VA 20190-5897
Phone (703) 471-0919
5 Garrett Ave
La Plata, MD 20646-5960
Phone (301) 609-4000
Hospital & facility affiliations
- University of MD Charles Regional Medical Center
- Sentara Leigh Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001196017 | VA | MD | Registered Nurse |
| ARNP2055252 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
Locations (25 of 37)
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
640 S State St
Dover, DE 19901
Phone (302) 744-4700
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
5 N La Plata Ct
Ste 201
La Plata, MD 20646
Phone (301) 609-4000
8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
2101 E Jefferson St
Rockville, MD 20852
Phone (301) 816-6660
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
2101 E Jefferson St
#4E
Rockville, MD 20852
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Interoperability endpoints
- minnocent548014@direct.umm.edu
Organizations & group practices 32
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
- Columbia, MD
- NPI 1740218767
DC, MD, Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Largo, MD
- NPI 1366781700
DC
-
- Ambulatory Surgical Clinic/Center
- Gaithersburg, MD
- NPI 1497023188
DC
-
- Ambulatory Surgical Clinic/Center
- Kensington, MD
- NPI 1578638425
DC
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC
-
- Anesthesiology Physician
- Bel Air, MD
- NPI 1871928812
MD, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
DC, MD
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
DC, VA
-
- Anesthesiology Physician
- Christiansburg, VA
- NPI 1407878465
VA
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1093783979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 CEDAR HILL DR",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606455",
"telephone_number": "540-552-2938",
"fax_number": "540-552-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E JEFFERSON ST",
"address_2": "KAISER PERMANENTE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-7405",
"fax_number": "540-552-2938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNOCENT",
"first_name": "MARIE",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001196017",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DE",
"license": "L6-0A10941",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "AC001376",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024166563",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP2055252",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301921700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2101 E Jefferson St",
"address_2": "Kaiser Permanente",
"city": "Rockville",
"state": "MD",
"country_code": "US",
"postal_code": "208524908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.