Individual provider Active NPI

Meghan Estock Roman, NP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1760036834
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R217515 Issued in MD
Practice address
2112 Dundalk Ave
Baltimore, MD 21222-3714
Phone
(410) 288-4800
NPI assigned
Jul 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R217515 MD
Family Nurse Practitioner 363LF0000X R217515 MD Primary

Addresses

Primary practice location

2112 Dundalk Ave
Baltimore, MD 21222-3714

Mailing address

9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (610) 283-3185

Other practice location 1

129 S Potomac St
Baltimore, MD 21224-2252
Phone (610) 283-3185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, DE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200106000033 DC Practitioner - Nurse Practitioner 8820422553 Reassigns benefits to 1 organization
I20200106000050 MD Practitioner - Nurse Practitioner 8820422553 Reassigns benefits to 1 organization
I20210629000367 DE Practitioner - Nurse Practitioner 8820422553 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R217515MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christianacare Virtual Health Practice PA CurrentSince Jun 28, 2021 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Jun 2, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jun 28, 2021 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jun 28, 2021 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christianacare Virtual Health Practice PA CurrentSince Sep 11, 2022 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Dec 2, 2019 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Dec 2, 2019 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Dec 2, 2019 Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

4000 Nexus Dr
Ste NE3100
Wilmington, DE 19803
Phone (302) 320-9771

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

2112 Dundalk Ave
Dundalk, MD 21222
Phone (410) 284-1133

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Organizations & group practices 10

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": "1564185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1760036834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR # 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "610-283-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 DUNDALK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212223714",
            "telephone_number": "410-288-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 S Potomac St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242252",
            "country_code": "US",
            "telephone_number": "610-283-3185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MEGHAN",
        "middle_name": "ESTOCK",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-27",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R217515",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R217515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.