Individual provider Active NPI

Madalynn Tenney, CRPNP AC/PC

  • Pediatric Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1205473782
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R192771 Issued in MD
Practice address
7401 Greenbelt Rd
Greenbelt, MD 20770-3402
Phone
(240) 494-6066
NPI assigned
Dec 4, 2019
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024178527 VA
Pediatric Nurse Practitioner 363LP0200X R192771 MD Primary

Addresses

Primary practice location

7401 Greenbelt Rd
Greenbelt, MD 20770-3402

Mailing address

7401 Greenbelt Rd
Greenbelt, MD 20770-3402
Phone (301) 982-5437

Other names 1

  • Madalynn Tenney Other name

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
I20210120001001 DC Practitioner - Nurse Practitioner 2264845031 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mep Health, LLC CurrentSince Sep 9, 2021 Accepting new patients
International Pediatrics, P a Past Accepting new patients

Locations

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Organizations & group practices 2

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": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1205473782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 GREENBELT RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703402",
            "telephone_number": "301-982-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 GREENBELT RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703402",
            "telephone_number": "240-494-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNEY",
        "first_name": "MADALYNN",
        "credential": "CRPNP AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024178527",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R192771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADALYNN",
            "last_name": "TENNEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.