Individual provider Active NPI

Angela A Billups, CRNA

  • Certified Registered Nurse Anesthetist
  • Laurel, MD
National Provider Identifier
1811141187
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R175191 Issued in MD
Practice address
7350 Van Dusen Rd Ste 230
Laurel, MD 20707-5268
Phone
(301) 867-0492
NPI assigned
Nov 12, 2008
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN1004985 DC
Certified Registered Nurse Anesthetist 367500000X R175191 MD Primary
Critical Care Medicine Registered Nurse 163WC0200X RN1004985 DC
Critical Care Medicine Registered Nurse 163WC0200X R175191 MD

Addresses

Primary practice location

7350 Van Dusen Rd Ste 230
Laurel, MD 20707-5268

Mailing address

2502 18TH St NE
Washington, DC 20018-1307
Phone (202) 805-2091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151029002586 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921318122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corridor Anesthesia, LLCGroup PAC ID 0941231153, 9 clinicians

Practice addresses (Care Compare)

7350 Van Dusen Rd
Suite 230
Laurel, MD 20707-5268
Phone (301) 498-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1004985DCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurel MD Endoscopy ASC LLC Current Accepting new patients
Corridor Anesthesia, L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Montgomery Anesthesia Care, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 21, 2015 Accepting new patients

Locations

1 University Ave
Ste 104
Westwood, MA 02090

7350 Van Dusen Rd
Ste 230
Laurel, MD 20707
Phone (301) 498-5500

15005 Shady Grove Rd
Ste 200
Rockville, MD 20850
Phone (301) 340-8099

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1811141187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 18TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181307",
            "telephone_number": "202-805-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD STE 230",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075268",
            "telephone_number": "301-867-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLUPS",
        "first_name": "ANGELA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "RN1004985",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R175191",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "DC",
            "license": "RN1004985",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MD",
            "license": "R175191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.