Active NPI
Lorenzo Roberts
- Psychiatric/Mental Health Nurse Practitioner
- Hyattsville, MD
National Provider Identifier
1760160634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R273642
- Practice address
- 4301 Garden City Dr Ste 304
Hyattsville, MD 20785-6105 - Phone
- (202) 740-2654
- NPI assigned
- Jul 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R273642 | MD | Primary |
Addresses
Primary practice location
4301 Garden City Dr Ste 304
Hyattsville, MD 20785-6105
Mailing address
4301 Garden City Dr Ste 304
Hyattsville, MD 20785-6105
Phone (202) 740-2654
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1234 Glyndon Ave
Baltimore, MD 21223-3611
4301 Garden City Dr
Suite 304
Hyattsville, MD 20785-2251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R273642 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Source LLC | Single Specialty | Current | Accepting new patients |
Locations
4301 Garden City Dr
Ste 304
Hyattsville, MD 20785
Phone (301) 235-0060
Organizations & group practices 1
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": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765065600000",
"number": "1760160634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 GARDEN CITY DR STE 304",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207856105",
"telephone_number": "202-740-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 GARDEN CITY DR STE 304",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207856105",
"telephone_number": "202-740-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LORENZO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2025-12-07",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R273642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.