Individual provider Active NPI

Mark Vincent Tolentino, NP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1437783388
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R208653 Issued in MD
Practice address
9420 Key West Ave Ste 400
Rockville, MD 20850-6327
Phone
(301) 917-6800
NPI assigned
Mar 1, 2020
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R208653 MD
Family Nurse Practitioner 363LF0000X R208653 MD Primary
Home Health Registered Nurse 163WH0200X R208653 MD

Addresses

Primary practice location

9420 Key West Ave Ste 400
Rockville, MD 20850-6327

Mailing address

6608 Latrobe FLS
Elkridge, MD 21075-6624
Phone (301) 648-8663

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
I20210406001914 DC Practitioner - Nurse Practitioner 1850708041 Reassigns benefits to 3 organizations
I20221107000937 MD Practitioner - Nurse Practitioner 1850708041 Reassigns benefits to 6 organizations
Practice locations: Elkridge, MD
I20251008001550 VA Practitioner - Nurse Practitioner 1850708041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Physiatry Services MD LLCGroup PAC ID 1052837655, 15 clinicians

Practice addresses (Care Compare)

400 E Pratt St
FL 8
Baltimore, MD 21202-3180

Merit-based Incentive Payment System (MIPS)

Final score
69.18 of 100Reported as group
Quality
80.07
Promoting interoperability
0
Improvement activities
40
Cost
67.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Jul 17, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jul 17, 2025 Accepting new patients
Mansfield Kaseman Health Clinic, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1437783388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 LATROBE FLS",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756624",
            "telephone_number": "301-648-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506327",
            "telephone_number": "301-917-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "MARK VINCENT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-01",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R208653",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R208653",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R208653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.