Active NPI
Diana Vanroon, CRNP
- Family Nurse Practitioner
- Elkridge, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R152706
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| R152706 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Paul Place Specialists, Inc. | Current | Accepting new patients | |
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| St Paul Place Specialists Inc | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Current | Accepting new patients | |
| Minuteclinic LLC | Family | Current | Accepting new patients |
| St Agnes Healthcare Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1144250176
-
- Orthopaedic Foot and Ankle Surgery Physician
- Baltimore, MD
- NPI 1871549196
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
VA
-
- Dermatology Physician
- Baltimore, MD
- NPI 1528014842
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780615922
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1497707681
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.