Individual provider Active NPI

Roseline E. Eko, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Airy, MD
National Provider Identifier
1528720356
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R210189 Issued in MD
Practice address
606 Old Vintage Run
Mount Airy, MD 21771-4048
Phone
(301) 377-4918
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R210189 MD Primary

Addresses

Primary practice location

606 Old Vintage Run
Mount Airy, MD 21771-4048

Mailing address

606 Old Vintage Run
Mount Airy, MD 21771-4048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, RI, DC3 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
I20220228000288 MD Practitioner - Nurse Practitioner 3779977277 Reassigns benefits to 1 organization
I20220516000951 RI Practitioner - Nurse Practitioner 3779977277 Reassigns benefits to 2 organizations
I20250812003370 DC Practitioner - Nurse Practitioner 3779977277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9462 Paragon CT
Owings Mills, MD 21117-1407
Phone (301) 377-4918

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R210189MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Briteview Healthcare Solutions, LLC Current Accepting new patients
Spectrum Neuro Behavioral Care LLC CurrentSince Apr 1, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 4, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

63 Park Sq
Ste 8
North Smithfield, RI 02896
Phone (401) 414-3485

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: roseline.ekema.1@24284.direct.athenahealth.com

Organizations & group practices 5

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": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1528720356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 OLD VINTAGE RUN",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217714048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 OLD VINTAGE RUN",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217714048",
            "telephone_number": "301-377-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKO",
        "first_name": "ROSELINE",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

Verify at the official NPI Registry.