Individual provider Active NPI

Minette G. Rilloraza, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1306430475
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R160382 Issued in MD
Practice address
9106 Philadelphia Rd Ste 108
Rosedale, MD 21237-4335
Phone
(410) 682-5040
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R160382 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R160382 MD Primary
Adult Health Nurse Practitioner 363LA2200X R160382 MD

Addresses

Primary practice location

9106 Philadelphia Rd Ste 108
Rosedale, MD 21237-4335

Mailing address

9106 Philadelphia Rd Ste 108
Rosedale, MD 21237-4335
Phone (410) 682-5040

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
I20220609000578 MD Practitioner - Nurse Practitioner 8527446137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope Health Systems IncGroup PAC ID 3678749959, 9 clinicians

Practice addresses (Care Compare)

6707 Whitestone Rd
Suite 106
Woodlawn, MD 21207-4140
Phone 4102658737226

7850 Rossville Blvd
Suite 214
Nottingham, MD 21236-3934
Phone (667) 895-3565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R160382MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nottingham Healthcare LLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Zion Ambulatory Center LLC CurrentSince Mar 7, 2021 Accepting new patients
Agape Health Systems Past Accepting new patients

Locations

7850 Rossville Blvd
Ste 214
Nottingham, MD 21236
Phone (667) 895-3565

9106 Philadelphia Rd
Ste 108
Rosedale, MD 21237
Phone (410) 682-5040

Organizations & group practices 4

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1306430475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 108",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374335",
            "telephone_number": "410-682-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 108",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374335",
            "telephone_number": "410-682-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILLORAZA",
        "first_name": "MINETTE",
        "middle_name": "G.",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R160382",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R160382",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R160382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.