Bethany Roderer, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R142576 Issued in MD

Practice address

8813 Maywood Ave
Silver Spring, MD 20910-5024

Phone

(240) 535-1569

NPI assigned

Dec 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2026

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Miles River Primary Care LLCGroup PAC ID 1951425545, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bethany.roderer.1@8042.direct.athenahealth.com
• Direct secure messaging: broderer484430@direct.uvmhealth.org

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.

• Miles River Primary Care LLC

  • Internal Medicine Physician
  • Easton, MD
  • NPI 1891015012
  Medicare reassignment Care Compare group NPD
• Privia Care Center LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1164874426

  MD

  Medicare reassignment Care Compare group NPD (past)
• Menocal Medical Services PA

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1083795918
  NPD
• Miles River Primary Care LLC

  • Family Medicine Physician
  • Cambridge, MD
  • NPI 1699594044
  NPD
• Privia Care Center LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1730664012
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shore Health System, Inc

  • General Acute Care Hospital
  • Cambridge, MD
  • NPI 1194784751
  Care Compare affiliation
• Shore Health System, Inc

  • Clinical Medical Laboratory
  • Easton, MD
  • NPI 1477513273

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  • General Acute Care Hospital
  • Easton, MD
  • NPI 1669431219
  Care Compare affiliation

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730458571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 MAYWOOD AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105024",
            "telephone_number": "240-535-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 MAYWOOD AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105024",
            "telephone_number": "240-535-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODERER",
        "first_name": "BETHANY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2023-03-07",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R142576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rock of Ages, Inc
• Aliya Rocker, LICSW
• Rockville Cardiology Center PC
• Sandy Leticia Rodas, M.S., CCC-SLP
• Rodeen Rahbar MD LLC
• Graciela Adriana Rodriguez Santos, FNP
• Ivette Rodriguez-Santana, LCSW-C
• Andrea B Rodriguez, D.D.S
• Cristina Alicia Rodriguez
• Ignacio R Rodriguez, MD

• Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.