Individual provider Active NPI

Andrea M Brooks, CRNP

  • Family Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1114233780
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R172254 Issued in MD
Practice address
215 Somerset Bay Dr
Apt 209
Glen Burnie, MD 21061-6461
Phone
(785) 845-8498
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R172254 MD Primary

Addresses

Primary practice location

215 Somerset Bay Dr
Apt 209
Glen Burnie, MD 21061-6461

Mailing address

7969 Covington Ave
Glen Burnie, MD 21061-4831
Phone (785) 845-8498

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
I20120308000421 MD Practitioner - Nurse Practitioner 8123287281 Reassigns benefits to 3 organizations
I20120308000510 DC Practitioner - Nurse Practitioner 8123287281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R172254MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatric Associates, PA Current Accepting new patients
University of Maryland Pediatric Assoc PA CurrentSince Aug 15, 2019 Accepting new patients
Medstar Urgent Care LLC CurrentSince Apr 11, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Apr 11, 2021 Accepting new patients
Medstar Urgent Care LLC CurrentSince Apr 11, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
University of Maryland Emergency Medicine Associates, PA CurrentSince Aug 4, 2014 Accepting new patients
University of Maryland Pediatric Associates, PA CurrentSince Aug 15, 2019 Accepting new patients
West Baltimore Emergency Medicine Physicians, LLC Past Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

650 W Lombard St
Baltimore, MD 21201
Phone (410) 328-6335

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

8605 Ridgelys Choice Dr
Nottingham, MD 21236
Phone (410) 248-2310

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 12

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1114233780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7969 COVINGTON AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614831",
            "telephone_number": "785-845-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SOMERSET BAY DR",
            "address_2": "APT 209",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616461",
            "telephone_number": "785-845-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R172254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.