Individual provider Active NPI

Brigid Prosser, CRNP, FNP-BC

  • Registered Nurse
  • Hyattsville, MD
National Provider Identifier
1760899637
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
203799 Issued in TN
Practice address
5804 Baltimore Ave.
Hyattsville, MD 20781
Phone
(301) 927-7800
Fax
(301) 209-9474
NPI assigned
Jul 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R174145 MD
Registered Nurse 163W00000X RN1024693 DC
Registered Nurse 163W00000X 114387 OK
Registered Nurse 163W00000X 4704308476 MI
Family Nurse Practitioner 363LF0000X 4704308476 MI
Registered Nurse 163W00000X 203799 TN Primary

Addresses

Primary practice location

5804 Baltimore Ave.
Hyattsville, MD 20781

Mailing address

5804 Baltimore Ave.
Hyattsville, MD 20781
Phone (301) 927-7800

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
I20170810000105 DC Practitioner - Nurse Practitioner 8921379934 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1024693DCMDRegistered Nurse
R174145MDMDRegistered Nurse
4704308476MIMDRegistered Nurse
114387OKMDRegistered Nurse
203799TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
J Richard Lilly MD Shaaron R Towns MD and Associates PC CurrentSince Jul 10, 2017 Accepting new patients

Locations

5804 Baltimore Ave
Hyattsville, MD 20781
Phone (301) 927-7800

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": "1405123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760899637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 BALTIMORE AVE.",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20781",
            "telephone_number": "301-927-7800",
            "fax_number": "301-209-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 BALTIMORE AVE.",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20781",
            "telephone_number": "301-927-7800",
            "fax_number": "301-209-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "BRIGID",
        "credential": "CRNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R174145",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1024693",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "114387",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704308476",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704308476",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "203799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.