Mark Anthony Roncone, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R209146 Issued in MD

Practice address

1101 Opal CT Ste 217
Hagerstown, MD 21740-5941

Phone

(402) 038-8642

Fax

(240) 866-8173

NPI assigned

Oct 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Antietam Family Health, LLCGroup PAC ID 6406228246, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: antietamfamilyhealth.markroncone@157764.advancedmd-direct.com

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.

• Antietam Family Health, LLC

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1548972318
  Medicare reassignment Care Compare group NPD Authorized official
• U N I Medical Care Inc

  • Urgent Care Clinic/Center
  • Westminster, MD
  • NPI 1790962371
  Medicare reassignment NPD
• Antietam Family Health LLC

  • Family Nurse Practitioner
  • Frederick, MD
  • NPI 1477366722
  NPD (past) Authorized official
• Antietam Family Health LLC

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1710791348
  NPD (past) Authorized official
• Antietam Family Health LLC

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1801600432
  NPD (past) Authorized official
• Antietam Family Health, LLC

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1003693102
  NPD (past) Authorized official
• Antietam Family Health, LLC

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1225815327
  NPD (past) Authorized official
• Antietam Family Health, LLC

  • Family Nurse Practitioner
  • Frederick, MD
  • NPI 1316724842
  NPD (past) Authorized official
• Antietam Family Health, LLC

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1578332029
  NPD (past) Authorized official
• Antietam Family Health, LLC

  • Family Nurse Practitioner
  • Hagerstown, MD
  • NPI 1710793138
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Meritus Medical Laboratory LLC

  • Clinical Medical Laboratory
  • Hagerstown, MD
  • NPI 1679518971
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1669982872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 OPAL CT STE 217",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405941",
            "telephone_number": "240-203-8864",
            "fax_number": "240-866-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OPAL CT STE 217",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405941",
            "telephone_number": "402-038-8642",
            "fax_number": "240-866-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONCONE",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R209146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287005300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary R Romanic, M.D.
• Milena Romashkevich
• Lisa Romba, OCCUPATIONAL THERAPI
• Amanda Romero
• Danielle Roncone, LCPC
• Ashley Nicole Rooney, LGPC
• Betsy F Rosenthal, DPM
• David John Rossi, D.O.
• Bradley Daniel Rossman, LGPC
• Roberta Louise Rothen, M.D.

• Family Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.

Verify at the official NPI Registry.