Individual provider Active NPI

Glenovan Brown-Sealey

  • Family Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1528657996
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R194821 Issued in MD
Practice address
20528 Boland Farm Rd Ste 101
Germantown, MD 20876-4032
Phone
(301) 250-4950
NPI assigned
Jan 11, 2021
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 R194821 MD Primary

Addresses

Primary practice location

20528 Boland Farm Rd Ste 101
Germantown, MD 20876-4032

Mailing address

PO Box 4211
Frederick, MD 21705-4211
Phone (443) 671-4085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, KS, CO3 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
I20231012003849 MD Practitioner - Nurse Practitioner 6002261922 Reassigns benefits to 1 organization
I20260618002215 KS Practitioner - Nurse Practitioner 6002261922 Reassigns benefits to 1 organization
I20260627000659 CO Practitioner - Nurse Practitioner 6002261922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Dallas, TX 75244-4910

4055 Valley View LN
Suite 400
Dallas, TX 75244-5071

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R194821MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well Timed Healthcare LLC Family CurrentSince Apr 16, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

201 E Patrick St
Ste 4211
Frederick, MD 21701
Phone (301) 401-7999

Interoperability endpoints

  • Direct secure messaging: glenovan.brown-sealey.1@29105.direct.athenahealth.com

Organizations & group practices 4

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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1528657996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4211",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217054211",
            "telephone_number": "443-671-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20528 BOLAND FARM RD STE 101",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764032",
            "telephone_number": "301-250-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-SEALEY",
        "first_name": "GLENOVAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.