Individual provider Active NPI

Melissa Rieben, CRNP

  • Family Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1720485162
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R154962 Issued in MD
Practice address
301 Hospital Dr
Suite 801
Glen Burnie, MD 21061-5803
Phone
(410) 553-8170
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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 R154962 MD Primary

Addresses

Primary practice location

301 Hospital Dr
Suite 801
Glen Burnie, MD 21061-5803

Mailing address

301 Hospital Dr
Suite 801
Glen Burnie, MD 21061-5803
Phone (410) 553-8170

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150204001707 MD Practitioner - Nurse Practitioner 7315262854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Family Care IncGroup PAC ID 5092629394, 157 clinicians
Maryland Primary Care Physicians, LLCGroup PAC ID 8729981832, 101 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-0808

7711 Quarterfield Rd
Suite a
Glen Burnie, MD 21061-4492
Phone (410) 761-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R154962MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Maryland Primary Care Physicians, LLC CurrentSince Sep 11, 2017 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Maryland Family Care, Inc. CurrentSince May 15, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1509 Ritchie Hwy
Arnold, MD 21012
Phone (410) 757-1600

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

3290 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 801-2273

300 Hospital Dr
Ste 126
Glen Burnie, MD 21061
Phone (410) 787-4897

7711 Quarterfield Rd
Ste A
Glen Burnie, MD 21061
Phone (410) 761-5560

301 Hospital Dr
Ste 801
Glen Burnie, MD 21061
Phone (410) 553-8170

7927 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 494-9099

305 Hospital Dr
Lowr
Glen Burnie, MD 21061
Phone (410) 553-8359

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Interoperability endpoints

  • Direct secure messaging: mrieben111488@direct.mdmercy.com

Organizations & group practices 5

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": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1720485162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "address_2": "SUITE 801",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-553-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "address_2": "SUITE 801",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-553-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBEN",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R154962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.