Active NPI
Mary Grace Weeks, CRNP
- Family Nurse Practitioner
- Hollywood, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R254662
- Practice address
- 24035 Three Notch Road
Hollywood, MD 20636-4871 - Phone
- (301) 373-7900
- Fax
- (301) 373-6900
- NPI assigned
- Dec 19, 2025
- Last updated
- Aug 19, 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 | R254662 | MD | Primary |
Addresses
Primary practice location
24035 Three Notch Road
Hollywood, MD 20636-4871
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
Other practice location 1
10 St. Patrick's Drive
Waldorf, MD 20603-4527
Phone (301) 705-7870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260226002324 | MD | Practitioner - Nurse Practitioner | 0840771945 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14085 Crown CT
Woodbridge, VA 22193-1458
24035 Three Notch Rd
Hollywood, MD 20636-4871
3015 Technology PL
Suite 100
Waldorf, MD 20601-4988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R254662 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Vascular Institute LLC | Current | Accepting new patients |
Locations
12070 Old Line Ctr
Ste 210
Waldorf, MD 20602
Phone (240) 629-3952
3015 Technology Pl
Ste 100
Waldorf, MD 20601
Phone (301) 374-8540
14085 Crown Ct
Woodbridge, VA 22193
Phone (703) 763-5224
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular & Interventional Radiology Physician
- Waldorf, MD
- NPI 1093294910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1528923604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH ROAD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900"
}
],
"practiceLocations": [
{
"address_1": "10 St. Patrick's Drive",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206034527",
"country_code": "US",
"telephone_number": "301-705-7870",
"fax_number": "301-705-7628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEEKS",
"first_name": "MARY GRACE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R254662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, MD
- Carolyn Wagner, M.A., CCC-SLP
- John Elliott Walker, MA RNC
- Kristen Lynn Walker, LGPC
- Linda Warren, PTA
- Nadia Wedderburn, CRNP
- Rachel Werner
- Julie Wilkening, DC
- Jenny Lynn Williams, L. AC.
- Youngsik Moon, M.D., P.a. (Hollywood Medical Center)
- Youngsik Moon, M.D., P.a. (Hollywood Ambulatory Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.