Individual provider Active NPI

Mary Lena Green, CRNP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1740907674
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R253469 Issued in MD
Practice address
9905 Medical Center Dr Ste 200
Rockville, MD 20850-6535
Phone
(301) 424-6231
NPI assigned
Oct 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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 R253469 MD Primary

Addresses

Primary practice location

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

Mailing address

10304 Parkwood Dr
Kensington, MD 20895-4040
Phone (202) 802-0387

Other practice location 1

10304 Parkwood Dr
Kensington, MD 20895-4040
Phone (202) 802-0387

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
I20230105003150 DC Practitioner - Nurse Practitioner 0749650828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Oncology Hematology P.a. CurrentSince Jan 3, 2023 Accepting new patients
Maryland Oncology Hematology, P.a. CurrentSince Jan 3, 2023 Accepting new patients
Maryland Oncology Hematology P.a. 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

205 Center St
Ste 200
Mount Airy, MD 21771
Phone (301) 418-6611

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

11886 Healing Way
Ste 701
Silver Spring, MD 20904
Phone (301) 933-3216

Organizations & group practices 3

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": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1740907674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 PARKWOOD DR",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208954040",
            "telephone_number": "202-802-0387"
        },
        {
            "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": "301-424-6231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10304 Parkwood Dr",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "208954040",
            "country_code": "US",
            "telephone_number": "202-802-0387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARY",
        "middle_name": "LENA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R253469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.