Individual provider Active NPI

Caroline Murray Cannon, NP-C

  • Adult Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1306219688
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN1016495 Issued in DC
Practice address
9905 Medical Center Dr Ste 200
Rockville, MD 20850-6535
Phone
(301) 424-6231
Fax
(301) 294-4648
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN1016495 DC
Adult Health Nurse Practitioner 363LA2200X RN1016495 DC Primary

Addresses

Primary practice location

9905 Medical Center Dr Ste 200
Rockville, MD 20850-6535

Mailing address

9905 Medical Center Dr Ste 200
Rockville, MD 20850-6535
Phone (301) 424-6231

Other names 1

  • Caroline Cannon Wiseman Former 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
I20200430000918 DC Practitioner - Nurse Practitioner 2264736602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Oncology Hematology PAGroup PAC ID 2062302102, 96 clinicians

Practice addresses (Care Compare)

9905 Medical Ctr Dr
Suite 200
Rockville, MD 20850-6535
Phone (301) 424-6231

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Medical Associates, P.C. CurrentSince Feb 1, 2020 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Jan 22, 2024 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Jan 22, 2024 Accepting new patients
Maryland Oncology Hematology, P.a. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11720 Beltsville Dr
Ste 300
Beltsville, MD 20705

5530 Wisconsin Ave
Ste 1640
Chevy Chase, MD 20815
Phone (240) 630-8254

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

18111 Prince Philip Dr
Ste 327
Olney, MD 20832
Phone (301) 744-6136

10110 Molecular Dr
Ste 206
Rockville, MD 20850
Phone (301) 279-2779

9905 Medical Center Dr
Ste 300
Rockville, MD 20850
Phone (301) 270-2844

9905 Medical Center Dr
Ste 200
Rockville, MD 20850
Phone (301) 424-6231

9715 Medical Center Dr
Ste 221
Rockville, MD 20850
Phone (301) 279-7510

Interoperability endpoints

  • Direct secure messaging: caroline.cannon@mdonc.ikm.direct-ci.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.519005

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.

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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1306219688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 MEDICAL CENTER DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506535",
            "telephone_number": "301-424-6231",
            "fax_number": "301-294-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 MEDICAL CENTER DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506535",
            "telephone_number": "301-424-6231",
            "fax_number": "301-294-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "CAROLINE",
        "middle_name": "MURRAY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DC",
            "license": "RN1016495",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN1016495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "WISEMAN",
            "middle_name": "CANNON",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.