Active NPI
Ebony Renee Marcelle, CNM
- Advanced Practice Midwife
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM1012872
- Practice address
- 2120 Bladensburg Rd NE
Washington, DC 20018-1440 - Phone
- (202) 407-7747
- Fax
- (202) 232-8494
- NPI assigned
- Mar 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM1012872 | DC | Primary |
Addresses
Primary practice location
2120 Bladensburg Rd NE
Washington, DC 20018-1440
Mailing address
4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 470-3080
Other practice location 1
4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 470-3080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040262900 | Medicaid | DC |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community of Hope Inc. | Current | Accepting new patients | |
| Community of Hope, Inc. | Current | Accepting new patients | |
| Community of Hope Inc. | Current | Accepting new patients | |
| Medstar Washington Hospital Center | Past | Accepting new patients |
Locations
2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080
801 17th St NE
Washington, DC 20002
Phone (202) 398-5520
2120 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 407-3080
4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080
Interoperability endpoints
- ebony.marcelle@coh.eclinicaldirectplus.com
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1649601154
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1487931465
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1801548805
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1740451053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ATLANTIC ST SW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322350",
"telephone_number": "202-470-3080",
"fax_number": "202-232-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 BLADENSBURG RD NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200181440",
"telephone_number": "202-407-7747",
"fax_number": "202-232-8494"
}
],
"practiceLocations": [
{
"address_1": "4 Atlantic St SW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200322350",
"country_code": "US",
"telephone_number": "202-470-3080",
"fax_number": "202-232-8494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCELLE",
"first_name": "EBONY",
"middle_name": "RENEE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "DC",
"license": "CNM1012872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040262900",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.