Individual provider Active NPI

Nancy Retter, CNM

  • Advanced Practice Midwife
  • Frederick, MD
National Provider Identifier
1700594231
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AC006571 Issued in MD
Practice address
77 Thomas Johnson Dr Ste H
Frederick, MD 21702-4893
Phone
(301) 414-2300
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024185602 VA
Advanced Practice Midwife 367A00000X AC006571 MD Primary

Addresses

Primary practice location

77 Thomas Johnson Dr Ste H
Frederick, MD 21702-4893

Mailing address

420 Ginkgo Ter NE
Leesburg, VA 20176-4031

Other practice location 1

1300 Hospital Dr Ste 300
Fredericksburg, VA 22401-8451
Phone (540) 656-2830

Other practice location 2

4200A Technology Ct
Chantilly, VA 20151-1214
Phone (540) 709-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240605002609 MD Practitioner - Certified Nurse Midwife (CNM) 7012459001 Reassigns benefits to 2 organizations
I20240617002986 DC Practitioner - Certified Nurse Midwife (CNM) 7012459001 Reassigns benefits to 2 organizations
I20260121003854 VA Practitioner - Certified Nurse Midwife (CNM) 7012459001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1643 NW 136 Ave
Sunrise, FL 33323-2857

1643 NW 136TH Ave
Sunrise, FL 33323-2857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0024185602VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Northern Virginia, LLC CurrentSince Aug 31, 2026 Accepting new patients
Maryland Physicians Edge LLC Midwife CurrentSince Feb 1, 2026 Accepting new patients
Simmonds, Martin & Helmbrecht, LLC CurrentSince Jun 1, 2024 Accepting new patients
DHP of Virginia PC CurrentSince Jan 24, 2026 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Feb 1, 2026 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120

77 Thomas Johnson Dr
Ste J
Frederick, MD 21702
Phone (301) 694-8999

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

19735 Germantown Rd
Ste 270
Germantown, MD 20874
Phone (301) 444-8350

11921 Rockville Pike
Ste 400
Rockville, MD 20852
Phone (240) 514-0140

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

44055 Riverside Pkwy
Ste 234
Leesburg, VA 20176
Phone (703) 858-3020

24430 Stone Springs Blvd
Ste 300
Sterling, VA 20166
Phone (703) 665-2430

Interoperability endpoints

  • Direct secure messaging: nancy.retter.1@17360.direct.athenahealth.com

Organizations & group practices 6

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1700594231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 GINKGO TER NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE H",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-414-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Hospital Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224018451",
            "country_code": "US",
            "telephone_number": "540-656-2830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200A Technology Ct",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511214",
            "country_code": "US",
            "telephone_number": "540-709-1737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETTER",
        "first_name": "NANCY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024185602",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "AC006571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.