Active NPI
Michelle Poon, NP
- Family Nurse Practitioner
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R239012
- Practice address
- 10980 Grantchester Way
Columbia, MD 21044-6097 - Phone
- (410) 772-6500
- NPI assigned
- Jan 26, 2026
- 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 | R239012 | MD | Primary |
Addresses
Primary practice location
10980 Grantchester Way
Columbia, MD 21044-6097
Mailing address
12909 Ethel Rose Way
Boyds, MD 20841-2014
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Maryland School of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505
12111 Darnestown Rd
Gaithersburg, MD 20878-3211
Phone (301) 926-3095
12220 Rockville Pike
Rockville, MD 20852-1608
Phone (301) 881-0103
18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026
1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960
19777 Frederick Rd
Germantown, MD 20876-1307
Phone (240) 388-9314
201 Shorebird St
Suite B
Frederick, MD 21701-1962
Phone (240) 422-8112
2114 Generals Hwy
Annapolis, MD 21401-7488
Phone (410) 224-6905
3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960
3350 Crain Hwy
Waldorf, MD 20603-4850
Phone (443) 584-5787
350 Fortune Ter
Suite D
Potomac, MD 20854-2910
Phone (443) 584-5323
4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258
6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890
7698 Dorchester Blvd
Hanover, MD 21076-1946
Phone (443) 755-9253
8125 Ritchie Hwy
Suite H
Pasadena, MD 21122-6925
Phone (410) 544-2075
882 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone (301) 216-1245
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R239012 | MD | MD | Family Nurse Practitioner |
Organizations & group practices 1
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": "1769385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1427907252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12909 ETHEL ROSE WAY",
"city": "BOYDS",
"state": "MD",
"postal_code": "208412014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10980 GRANTCHESTER WAY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210446097",
"telephone_number": "410-772-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POON",
"first_name": "MICHELLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-26",
"last_updated": "2026-01-26",
"certification_date": "2026-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R239012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.