Organization Active NPI

Medstar Vna Healthcare Inc

  • Family Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1811003544
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MEDSTAR VNA HEALTHCARE INC
Practice address
6404 Ivy LN Ste 110
Greenbelt, MD 20770-1416
Phone
(240) 965-3300
Fax
(240) 965-2950
NPI assigned
Aug 23, 2006
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Traci K Anderson-Araujo
Title
President
Phone
(410) 540-4546

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

6404 Ivy LN Ste 110
Greenbelt, MD 20770-1416

Mailing address

6404 Ivy LN Ste 110
Greenbelt, MD 20770-1416
Phone (240) 965-3300

Other identifiers 1

IdentifierTypeStateIssuer
P00296157OtherRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000231 DC Part B Supplier - Mass Immunization (Roster Biller Only) 4385896471 Practice locations: Calverton, MD

National Provider Directory

National Provider Directory

Locations

4061 Powder Mill Rd
Ste 210
Calverton, MD 20705
Phone (202) 669-8501

4061 Powder Mill Rd
Ste 500
Calverton, MD 20705
Phone (240) 965-2922

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1811003544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 IVY LN STE 110",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701416",
            "telephone_number": "240-965-3300",
            "fax_number": "240-965-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 IVY LN STE 110",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701416",
            "telephone_number": "240-965-3300",
            "fax_number": "240-965-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR VNA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-ARAUJO",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-540-4546"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00296157",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.