Individual provider Active NPI

Lenora Dianne Woolary, NP

  • Family Nurse Practitioner
  • Cheverly, MD
National Provider Identifier
1699292169
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R123789 Issued in MD
Practice address
3001 Hospital Dr
Cheverly, MD 20785-1189
Phone
(301) 618-3265
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R123789 MD Primary

Addresses

Primary practice location

3001 Hospital Dr
Cheverly, MD 20785-1189

Mailing address

3001 Hospital Dr
Hyattsville, MD 20785-1189

Other practice location 1

6196 Oxon Hill Rd Ste 540
Oxon Hill, MD 20745-3112
Phone (301) 686-1665

Other practice location 2

1458 Addison Rd S
Capitol Heights, MD 20743-4413
Phone (301) 324-1500

Other identifiers 1

IdentifierTypeStateIssuer
918093100MedicaidMD

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
I20200513000089 DC Practitioner - Nurse Practitioner 7517398274 Reassigns benefits to 1 organization
I20230920002848 MD Practitioner - Nurse Practitioner 7517398274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Baden Medical Service IncorporatedGroup PAC ID 4981632650, 34 clinicians

Practice addresses (Care Compare)

6196 Oxon Hill Rd
Suite 540
Oxon Hill, MD 20745-3112
Phone (301) 888-2233

8030 Matthews Rd
Bryans Road, MD 20616-4265
Phone (301) 888-2233

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baden Medical Service Incorporated Family CurrentSince May 11, 2020 Accepting new patients
Greater Baden Medical Service Incorporated CurrentSince May 11, 2020 Accepting new patients
Greater Baden Medical Service Incorporated Past Accepting new patients
Greater Baden Medical Service Incorporated Past Accepting new patients

Locations

7450 Albert Rd
Ste 3
Brandywine, MD 20613

7450 Albert Rd
Fl 3
Brandywine, MD 20613
Phone (301) 599-0460

8030 Matthews Rd
#105107
Bryans Road, MD 20616

8030 Matthews Rd
Ste 105107
Bryans Road, MD 20616

1442 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

1458 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

6 Garrett Ave
La Plata, MD 20646
Phone (301) 539-5100

23140 Moakley St
Ste 4
Leonardtown, MD 20650
Phone (301) 997-1029

21729 Great Mills Rd
Ste C
Lexington Park, MD 20653
Phone (240) 895-8396

6196 Oxon Hill Rd
Ste 540
Oxon Hill, MD 20745
Phone (301) 686-1665

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.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1699292169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207851189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-3265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6196 Oxon Hill Rd Ste 540",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453112",
            "country_code": "US",
            "telephone_number": "301-686-1665",
            "fax_number": "301-686-1779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1458 Addison Rd S",
            "address_purpose": "LOCATION",
            "city": "Capitol Heights",
            "state": "MD",
            "postal_code": "207434413",
            "country_code": "US",
            "telephone_number": "301-324-1500",
            "fax_number": "301-324-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLARY",
        "first_name": "LENORA",
        "middle_name": "DIANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R123789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "918093100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.