Individual provider Active NPI

Amy Lynn Macdonald, RN, NP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1790883981
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R207891 Issued in MD
Practice address
7955 Tuckerman LN
Rockville, MD 20854-3243
Phone
(866) 389-2727
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-4865-0 HI
Family Nurse Practitioner 363LF0000X RN500020907 NY
Family Nurse Practitioner 363LF0000X 324640 AZ
Family Nurse Practitioner 363LF0000X 881530 NV
Family Nurse Practitioner 363LF0000X R207891 MD Primary
Family Nurse Practitioner 363LF0000X APRN04626 RI
Family Nurse Practitioner 363LF0000X APRN11034491 FL
Family Nurse Practitioner 363LF0000X GAANP002700 GA
Family Nurse Practitioner 363LF0000X CNP-01505 NM
Family Nurse Practitioner 363LF0000X 7101710A IN
Family Nurse Practitioner 363LF0000X 4026319 KY
Family Nurse Practitioner 363LF0000X RN2278597 MA
Family Nurse Practitioner 363LF0000X 0037213 OH
Family Nurse Practitioner 363LF0000X 231238 AK
Family Nurse Practitioner 363LF0000X 95402199 CA

Addresses

Primary practice location

7955 Tuckerman LN
Rockville, MD 20854-3243

Mailing address

7955 Tuckerman LN
Rockville, MD 20854-3243
Phone (866) 389-2727

Other identifiers 1

IdentifierTypeStateIssuer
00334771MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, MA, DC, MD, IN, HI, NV, GA, NY, VA10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20090903000162 NM Practitioner - Nurse Practitioner 9436204013 Reassigns benefits to 1 organization
I20120802000001 MA Practitioner - Nurse Practitioner 9436204013
I20131227000448 DC Practitioner - Nurse Practitioner 9436204013 Reassigns benefits to 3 organizations
I20140107000684 MD Practitioner - Nurse Practitioner 9436204013 Reassigns benefits to 1 organization
I20241010002738 IN Practitioner - Nurse Practitioner 9436204013 Reassigns benefits to 1 organization
I20250303002402 HI Practitioner - Nurse Practitioner 9436204013 Reassigns benefits to 1 organization
I20250303002524 NV Practitioner - Nurse Practitioner 9436204013 Reassigns benefits to 1 organization
I20250314003240 GA Practitioner - Nurse Practitioner 9436204013 Reassigns benefits to 1 organization
I20250321000923 NY Practitioner - Nurse Practitioner 9436204013 Reassigns benefits to 1 organization
I20250402003097 VA Practitioner - Nurse Practitioner 9436204013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
231238AKMDFamily Nurse Practitioner
324640AZMDFamily Nurse Practitioner
95402199CAMDFamily Nurse Practitioner
APRN11034491FLMDFamily Nurse Practitioner
GAANP002700GAMDFamily Nurse Practitioner
APRN-4865-0HIMDFamily Nurse Practitioner
7101710AINMDFamily Nurse Practitioner
CNP-01505NMMDFamily Nurse Practitioner
881530NVMDFamily Nurse Practitioner
RN500020907NYMDFamily Nurse Practitioner
APRN04626RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Jan 11, 2025 Accepting new patients
Minuteclinic Diagnostic of New Mexico, LLC Family CurrentSince Oct 4, 2024 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Mar 10, 2025 Accepting new patients
MC Medical Group of Nevada, P.C Family CurrentSince Jan 14, 2025 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Sep 26, 2024 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Mar 10, 2025 Accepting new patients
MC Medical Group of DC, PC Family CurrentSince Oct 10, 2024 Accepting new patients

Locations

320 40th St NE
Washington, DC 20019
Phone (202) 236-1840

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

45-480 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 235-0885

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-6438

4340 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 252-0599

9640 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 294-4167

1825 E Warm Springs Rd
Las Vegas, NV 89119
Phone (702) 361-4873

4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 8

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1790883981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 TUCKERMAN LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543243",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 TUCKERMAN LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543243",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4865-0",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "RN500020907",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "324640",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "881530",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207891",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04626",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034491",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAANP002700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01505",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "7101710A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4026319",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2278597",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0037213",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "231238",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95402199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00334771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.