Individual provider Active NPI

Renee W Maloney, FNP-C

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1720528631
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R218408 Issued in MD
Practice address
9905 Medical Center Dr Ste 200
Rockville, MD 20850-6535
Phone
(301) 294-4644
Fax
(301) 294-4648
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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 R218408 MD Primary

Addresses

Primary practice location

9905 Medical Center Dr Ste 200
Rockville, MD 20850-6535

Mailing address

9905 Medical Center Dr Ste 200
Rockville, MD 20850-6535
Phone (301) 294-4644

Other names 1

  • Renee A Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20170718000702 DC Practitioner - Nurse Practitioner 9739459124 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

Practice addresses (Care Compare)

11720 Beltsville Dr
Suite 300
Beltsville, MD 20705-3104

11720 Beltsville Dr
Suite 300
Beltsville, MD 20705-3119

11720 Beltsville Dr
Suite 300
Beltsville, MD 20705-3166

2000 15TH St N
Suite 600
Arlington, VA 22201-2900

224 -D Cornwall St NW
Suite 403
Leesburg, VA 20176-2704

Merit-based Incentive Payment System (MIPS)

Final score
85.83 of 100Reported as group
Quality
71.66
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R218408MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Oncology Hematology, P.a. Current Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Feb 21, 2022 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Feb 21, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11720 Beltsville Dr
Ste 300
Beltsville, MD 20705

6420 Rockledge Dr
Ste 4200
Bethesda, MD 20817
Phone (301) 564-5000

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

9905 Medical Center Dr
Ste 200
Rockville, MD 20850
Phone (301) 424-6231

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": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1720528631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 MEDICAL CENTER DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506535",
            "telephone_number": "301-294-4644",
            "fax_number": "301-294-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 MEDICAL CENTER DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506535",
            "telephone_number": "301-294-4644",
            "fax_number": "301-294-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "RENEE",
        "middle_name": "W",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R218408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "WILSON",
            "middle_name": "A",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.