Individual provider Active NPI

Roxane Brown, FNP-C

  • Family Nurse Practitioner
  • Glenn Dale, MD
National Provider Identifier
1265222178
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP500021374 Issued in DC
Practice address
9905 Marguerita Ave
Glenn Dale, MD 20769-9274
Phone
(619) 817-5461
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 NP500021374 DC Primary

Addresses

Primary practice location

9905 Marguerita Ave
Glenn Dale, MD 20769-9274

Mailing address

9905 Marguerita Ave
Glenn Dale, MD 20769-9274
Phone (619) 817-5461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20251024000621 DC Practitioner - Nurse Practitioner 1557859196 Reassigns benefits to 2 organizations
I20251121001324 MD Practitioner - Nurse Practitioner 1557859196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluerock Primary CareGroup PAC ID 3072943323, 4 clinicians

Practice addresses (Care Compare)

3230 Pennsylvania Ave SE
Suite 205
Washington, DC 20020-3731
Phone (202) 796-9775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP500021374DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluerock Primary Care CurrentSince Oct 20, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 11, 2025 Accepting new patients

Locations

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

3230 Pennsylvania Ave SE
Ste 205
Washington, DC 20020
Phone (202) 796-9775

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: roxane.brown.1@22627.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1265222178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 MARGUERITA AVE",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699274",
            "telephone_number": "619-817-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 MARGUERITA AVE",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699274",
            "telephone_number": "619-817-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROXANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500021374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.