Dawn Marie Roelofs, NP-C, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R143946 Issued in MD

Practice address

7962 Covington Ave
Glen Burnie, MD 21061-4875

Phone

(410) 245-1806

NPI assigned

Aug 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Medicine, LLCGroup PAC ID 2163698101, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Urgent Care Medicine, LLC

  • Urgent Care Clinic/Center
  • Edgewater, MD
  • NPI 1174804918

  MD

  Medicare reassignment Care Compare group NPD
• Centennial Medical Group, PA

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1134235039

  MD

  Medicare reassignment NPD
• First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Laurel, MD
  • NPI 1841680766

  MD

  Medicare reassignment NPD
• Priority Care Primary Care Clinics

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1386369486

  MD

  Medicare reassignment NPD
• Centennial Medical Group, PA

  • Family Medicine Physician
  • Ellicott City, MD
  • NPI 1245953009
  NPD
• Centennial Medical Group, PA

  • Family Medicine Physician
  • Clarksville, MD
  • NPI 1336918275
  NPD
• First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Columbia, MD
  • NPI 1962269845
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1508311150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7962 COVINGTON AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614875",
            "telephone_number": "410-245-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7962 COVINGTON AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614875",
            "telephone_number": "410-245-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELOFS",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R143946",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN669051",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1038448",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R143946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Smith
• Ladonna Robinson, PTA
• Lashonda Robinson, OTR/L
• Della Roderick, LCPC
• Brian Roeder, P.A.-C
• Rebecca Rogers-McCoy, CSC-AD
• Harmony Rogers
• Mary Jane Rogers, LCPC
• Eric Roher, DPT
• Keith Bernard Rohr, P.T.

• All providers in Glen Burnie, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.

Verify at the official NPI Registry.