Individual provider Active NPI

Stephen Nicewarner, CRNP

  • Endocrinology, Diabetes & Metabolism Physician
  • Frederick, MD
National Provider Identifier
1548975253
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
R228108 Issued in MD
Practice address
9093 Ridgefield Dr Ste 104
Frederick, MD 21701-6711
Phone
(240) 956-5475
Fax
(240) 891-2600
NPI assigned
Jan 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X R228108 MD Primary

Addresses

Primary practice location

9093 Ridgefield Dr Ste 104
Frederick, MD 21701-6711

Mailing address

9093 Ridgefield Dr Ste 104
Frederick, MD 21701-6711
Phone (240) 956-5475

Other identifiers 1

IdentifierTypeStateIssuer
R228108OtherMDCRNP LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260417002186 MD Practitioner - Nurse Practitioner 1254807142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845

610 9TH Ave
Brunswick, MD 21716-1828
Phone (301) 834-7188

9093 Ridgefield Dr
Suite 104
Frederick, MD 21701-6711
Phone (301) 682-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R228108MDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Employer Solutions CurrentSince Jan 22, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

490 Prospect Blvd
Ste L
Frederick, MD 21701
Phone (240) 566-3001

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1548975253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016711",
            "telephone_number": "240-956-5475",
            "fax_number": "240-891-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016711",
            "telephone_number": "240-956-5475",
            "fax_number": "240-891-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICEWARNER",
        "first_name": "STEPHEN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-17",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "R228108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE",
            "identifier": "R228108",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.