Individual provider Active NPI

Nichole Marie Rosado, RN, CNM

  • Midwife
  • Brooklyn Park, MD
National Provider Identifier
1205727427
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CNM10267 Issued in MD
Practice address
5214 Disney Ave
Brooklyn Park, MD 21225-3141
Phone
(410) 300-2220
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CNM10267 MD Primary

Addresses

Primary practice location

5214 Disney Ave
Brooklyn Park, MD 21225-3141

Mailing address

5214 Disney Ave
Brooklyn Park, MD 21225-3141
Phone (410) 300-2220

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201003675 MD Practitioner - Certified Nurse Midwife (CNM) 8628561461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

900 Elkridge Landing Rd
Linthicum, MD 21090-2924

PO Box
Suite 778
Easton, MD 21601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CNM10267MDMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC Current Accepting new patients

Locations

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7300 York Rd
Towson, MD 21204
Phone (410) 337-9878

Interoperability endpoints

  • Direct secure messaging: nrosado1097755@direct.umm.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1205727427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 DISNEY AVE",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212253141",
            "telephone_number": "410-300-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 DISNEY AVE",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212253141",
            "telephone_number": "410-300-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MD",
            "license": "CNM10267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MD

Sources for this page

Verify at the official NPI Registry.