Individual provider Active NPI

Kristen U Roller, FNP

  • Family Nurse Practitioner
  • Pasadena, MD
National Provider Identifier
1649863655
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R203287 Issued in MD
Practice address
90 Ritchie Hwy
Pasadena, MD 21122-4303
Phone
(410) 987-2003
NPI assigned
Feb 19, 2021
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R203287 MD Primary
Hospice Registered Nurse 163WH1000X R203287 MD

Addresses

Primary practice location

90 Ritchie Hwy
Pasadena, MD 21122-4303

Mailing address

90 Ritchie Hwy
Pasadena, MD 21122-4303
Phone (410) 987-2003

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210818004258 DC Practitioner - Nurse Practitioner 1355746090 Reassigns benefits to 1 organization
I20210823003011 MD Practitioner - Nurse Practitioner 1355746090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilchrist Hospice Care IncGroup PAC ID 2769580422, 52 clinicians

Practice addresses (Care Compare)

1051 Brightseat Rd
Landover, MD 20785-3738
Phone (240) 487-4400

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (443) 578-8043

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gilchrist Hospice Care, Inc. CurrentSince May 13, 2024 Accepting new patients
Gilchrist Hospice Care, Inc. CurrentSince May 13, 2024 Accepting new patients
Luminis Health Gilchrist Lifecare Institute, LLC CurrentSince May 13, 2024 Accepting new patients

Locations

2000 Medical Pkwy
Ste 607
Annapolis, MD 21401
Phone (410) 266-1644

11311 McCormick Rd
Ste 100
Hunt Valley, MD 21031

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1649863655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224303",
            "telephone_number": "410-987-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224303",
            "telephone_number": "410-987-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "KRISTEN",
        "middle_name": "U",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R203287",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MD",
            "license": "R203287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.