Individual provider Active NPI

Diana Vanroon, CRNP

  • Family Nurse Practitioner
  • Elkridge, MD
National Provider Identifier
1346612710
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R152706 Issued in MD
Practice address
6480 Old Waterloo Rd
Elkridge, MD 21075-6508
Phone
(410) 799-0291
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 R152706 MD Primary

Addresses

Primary practice location

6480 Old Waterloo Rd
Elkridge, MD 21075-6508

Mailing address

6480 Old Waterloo Rd
Elkridge, MD 21075-6508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20151231001935 DC Practitioner - Nurse Practitioner 7719289172 Reassigns benefits to 1 organization
I20160107002497 MD Practitioner - Nurse Practitioner 7719289172 Reassigns benefits to 3 organizations
I20250804002436 VA Practitioner - Nurse Practitioner 7719289172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R152706MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Paul Place Specialists, Inc. CurrentSince Jan 12, 2023 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
St Paul Place Specialists Inc CurrentSince Jan 12, 2023 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jul 20, 2020 Accepting new patients
Minuteclinic LLC Family CurrentSince Dec 28, 2023 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jul 20, 2020 Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

6480 Waterloo Rd
Elkridge, MD 21075
Phone (410) 799-0075

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: dvanroon33838@carelonhealth.direct-ci.com

Organizations & group practices 7

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1346612710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 OLD WATERLOO RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 OLD WATERLOO RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756508",
            "telephone_number": "410-799-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANROON",
        "first_name": "DIANA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R152706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.