Individual provider Active NPI

Nilocent Manrique Antonio, CRNP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1689144180
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R168765 Issued in MD
Practice address
110 Irving St NW
Washington, DC 20010-3017
Phone
(202) 877-4200
NPI assigned
Nov 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R168765 MD Primary

Addresses

Primary practice location

110 Irving St NW
Washington, DC 20010-3017

Mailing address

317 Spaniard Neck Rd
Centreville, MD 21617-2322
Phone (410) 739-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20200218000355 MD Practitioner - Nurse Practitioner 8426484080 Reassigns benefits to 7 organizations
I20200514002567 DC Practitioner - Nurse Practitioner 8426484080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians SPPSGroup PAC ID 0648594036, 18 clinicians

Practice addresses (Care Compare)

301 Saint Paul PL
Baltimore, MD 21202-2147
Phone (410) 332-9000

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
  • University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Single Specialty Current Accepting new patients
Luminis Health Medical Group, LLC Single Specialty CurrentSince Jan 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC Single Specialty CurrentSince Jan 1, 2020 Accepting new patients
Chester River Health Center CurrentSince Jun 1, 2024 Accepting new patients
CRH MD Management LLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Luminis Health Medical Group, LLC Single Specialty Current Accepting new patients
Emergency Medicine Associates, PA CurrentSince May 15, 2024 Accepting new patients
Emergency Medicine Associates, PA CurrentSince May 21, 2024 Accepting new patients
Umms Ambulatory Care LLC Single Specialty Current Accepting new patients
Emergency Physicians SPPS Single Specialty CurrentSince Nov 13, 2025 Accepting new patients
Chester River Hospital Center Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 15, 2024 Accepting new patients
CRH MD Management, LLC CurrentSince Dec 1, 2021 Accepting new patients
Chester River Hospital Center Single Specialty Current Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
CRH MD Management LLC CurrentSince Feb 1, 2022 Accepting new patients
Memn Hospitalists, LLC Single Specialty Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

202 Coursevall Dr
Ste 101
Centreville, MD 21617
Phone (410) 758-3303

202 Coursevall Dr
Centreville, MD 21617
Phone (410) 758-3303

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

8 Denton Plz
#1
Denton, MD 21629
Phone (443) 606-2300

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

10845 Town Center Blvd
Ste 108
Dunkirk, MD 20754
Phone (410) 286-7911

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

14421 Baltimore Ave
#12202
Laurel, MD 20707
Phone (240) 786-6684

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1689144180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SPANIARD NECK RD",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172322",
            "telephone_number": "410-739-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIO",
        "first_name": "NILOCENT",
        "middle_name": "MANRIQUE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R168765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.