Individual provider Active NPI

Danielle Elaine Peterson, WHNP-BC

  • Women's Health Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1285314450
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R233858 Issued in MD
Practice address
2000 Medical Pkwy Ste 304
Annapolis, MD 21401-3745
Phone
(410) 573-9530
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R233858 MD Primary

Addresses

Primary practice location

2000 Medical Pkwy Ste 304
Annapolis, MD 21401-3745

Mailing address

2000 Medical Pkwy Ste 304
Annapolis, MD 21401-3745

Other practice location 1

2401 Brandermill Blvd Ste 350
Gambrills, MD 21054-1617
Phone (410) 573-9530

Other practice location 2

1630 Main St Ste 211
Chester, MD 21619-2793
Phone (410) 573-9530

Other practice location 3

18 Magothy Beach Rd
Pasadena, MD 21122-4477
Phone (410) 573-9530

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
I20231201000879 MD Practitioner - Nurse Practitioner 3476901463 Reassigns benefits to 3 organizations

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
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

133 Defense Hwy
Annapolis, MD 21401-7015

Merit-based Incentive Payment System (MIPS)

Final score
81.45 of 100Reported as group
Quality
67.28
Promoting interoperability
98
Improvement activities
40
Cost
72.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R233858MDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Nov 13, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 13, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2000 Medical Pkwy
Ste 304
Annapolis, MD 21401
Phone (410) 573-9530

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

1630 Main St
Ste 211
Chester, MD 21619
Phone (410) 573-9530

2401 Brandermill Blvd
Ste 350
Gambrills, MD 21054
Phone (410) 573-9530

18 Magothy Beach Rd
Pasadena, MD 21122
Phone (410) 573-9530

Interoperability endpoints

  • Direct secure messaging: dpeterson164249@direct.aahs.org

Organizations & group practices 5

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1285314450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 304",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 304",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013745",
            "telephone_number": "410-573-9530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Brandermill Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541617",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Main St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192793",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Magothy Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211224477",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DANIELLE",
        "middle_name": "ELAINE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R233858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.