Individual provider Active NPI

Hillary Rosenberg

  • Gerontology Nurse Practitioner
  • Potomac, MD
National Provider Identifier
1740345362
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R142291 Issued in MD
Practice address
10718 Potomac Tennis LN
Potomac, MD 20854-4418
Phone
(202) 308-4992
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R142291 MD Primary

Addresses

Primary practice location

10718 Potomac Tennis LN
Potomac, MD 20854-4418

Mailing address

10718 Potomac Tennis LN
Potomac, MD 20854-4418

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
I20210830000678 DC Practitioner - Nurse Practitioner 0345463550 Reassigns benefits to 1 organization
I20230323003152 MD Practitioner - Nurse Practitioner 0345463550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Maryland School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Services of Holy CrossGroup PAC ID 3779516992, 159 clinicians

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R142291MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince Oct 1, 2023 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Jul 7, 2021 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Feb 11, 2023 Accepting new patients
Professional Services of Holy Cross CurrentSince Oct 1, 2023 Accepting new patients

Locations

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

6500 Riggs Rd
Hyattsville, MD 20783
Phone (301) 434-0500

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

10714 Potomac Tennis Ln
Potomac, MD 20854
Phone (301) 299-2273

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

L2540
Columbus, OH 43260

333 N Summit St
Fl 15
Toledo, OH 43604
Phone (419) 252-5530

Interoperability endpoints

  • Direct secure messaging: hrosenberg2933569@direct.trinity-health.org

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1740345362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10718 POTOMAC TENNIS LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 POTOMAC TENNIS LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544418",
            "telephone_number": "202-308-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "HILLARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R142291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

Verify at the official NPI Registry.