Individual provider Active NPI

Sarah Rogers, CRNP

  • Family Nurse Practitioner
  • Greensboro, MD
National Provider Identifier
1194489096
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R217176 Issued in MD
Practice address
627 N Main St
Greensboro, MD 21639-1469
Phone
(410) 482-9148
Fax
(833) 914-0405
NPI assigned
Oct 26, 2021
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 R217176 MD Primary

Addresses

Primary practice location

627 N Main St
Greensboro, MD 21639-1469

Mailing address

627 N Main St
Greensboro, MD 21639-1469
Phone (410) 482-9148

Other practice location 1

113 Patriot Way
Centreville, MD 21617-2170
Phone (443) 993-9783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20211217000133 MD Practitioner - Nurse Practitioner 7214328756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

808 S 5TH Ave
Choptank Mobile Van 1 Medical
Denton, MD 21629-1398
Phone (410) 479-2650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R217176MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC CurrentSince Dec 13, 2021 Accepting new patients
Choptank Community Health System Inc CurrentSince Dec 27, 2022 Accepting new patients
Choptank Community Health System Inc CurrentSince Dec 27, 2022 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
Umms Ambulatory Care LLC CurrentSince Dec 13, 2021 Accepting new patients
Choptank Community Health System Inc Past Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

Interoperability endpoints

  • Direct secure messaging: sarah.rogers.1@20853.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1194489096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 N MAIN ST",
            "city": "GREENSBORO",
            "state": "MD",
            "postal_code": "216391469",
            "telephone_number": "410-482-9148",
            "fax_number": "833-914-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 N MAIN ST",
            "city": "GREENSBORO",
            "state": "MD",
            "postal_code": "216391469",
            "telephone_number": "410-482-9148",
            "fax_number": "833-914-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Patriot Way",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MD",
            "postal_code": "216172170",
            "country_code": "US",
            "telephone_number": "443-993-9783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SARAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R217176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, MD

Sources for this page

Verify at the official NPI Registry.