Individual provider Active NPI

Rachelle Chery, NURSE PRACTITIONER

  • Nurse Practitioner
  • Abingdon, MD
National Provider Identifier
1194577676
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R235994 Issued in MD
Practice address
1115 Walnut Hill CT
Abingdon, MD 21009-4308
Phone
(631) 522-7441
NPI assigned
Apr 5, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R235994 MD Primary

Addresses

Primary practice location

1115 Walnut Hill CT
Abingdon, MD 21009-4308

Mailing address

1115 Walnut Hill CT
Abingdon, MD 21009-4308
Phone (631) 522-7441

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
I20241014000108 MD Practitioner - Nurse Practitioner 1951833151 Reassigns benefits to 3 organizations
I20241107000112 DC Practitioner - Nurse Practitioner 1951833151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Urology, PAGroup PAC ID 9032178918, 33 clinicians

Practice addresses (Care Compare)

4201 Northview Dr
Suite 201
Bowie, MD 20716-2656
Phone (240) 544-4070

600 Ridgely Ave
Suite 130
Annapolis, MD 21401-1045
Phone (410) 266-8049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R235994MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Urology, PA CurrentSince Feb 20, 2025 Accepting new patients
Synergy Medical Group CurrentSince Dec 28, 2025 Accepting new patients
Anne Arundel Urology, PA CurrentSince Feb 24, 2025 Accepting new patients
Synergy Medical Group LLC CurrentSince Dec 28, 2025 Accepting new patients
Maryland Institute for Pelvic Neuro Science LLC Past Accepting new patients

Locations

600 Ridgely Ave
Ste 130
Annapolis, MD 21401
Phone 4102668049157

4201 Northview Dr
Ste 201
Bowie, MD 20716
Phone (240) 544-4070

3320 Benson Ave
Halethorpe, MD 21227
Phone (410) 644-7100

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

Interoperability endpoints

  • Direct secure messaging: rchery654591@direct.umm.edu

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, 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": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1194577676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WALNUT HILL CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210094308",
            "telephone_number": "631-522-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WALNUT HILL CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210094308",
            "telephone_number": "631-522-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERY",
        "first_name": "RACHELLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R235994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

Verify at the official NPI Registry.