Individual provider Active NPI

Michele Lynn Cleary, CRNP

  • Family Nurse Practitioner
  • Brandywine, MD
National Provider Identifier
1811780273
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R118530 Issued in MD
Practice address
7704 Matapeake Business Dr Ste 200
Brandywine, MD 20613-3045
Phone
(410) 610-6763
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R118530 MD Primary

Addresses

Primary practice location

7704 Matapeake Business Dr Ste 200
Brandywine, MD 20613-3045

Mailing address

11209 Lakeside Dr
Dunkirk, MD 20754-9418
Phone (410) 610-6763

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
I20251002003322 DC Practitioner - Nurse Practitioner 6709382245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Oncology Hematology PAGroup PAC ID 2062302102, 96 clinicians

Practice addresses (Care Compare)

7350 Van Dusen Rd
Suite 370
Laurel, MD 20707-5231
Phone (301) 982-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R118530MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Oncology Hematology P.a. CurrentSince Sep 15, 2025 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Sep 15, 2025 Accepting new patients
Maryland Oncology Hematology, P.a. Current Accepting new patients

Locations

7704 Matapeake Business Dr
Ste 200
Brandywine, MD 20613
Phone (301) 358-6070

9333 Healthcare Way
Ste 4100
Largo, MD 20774
Phone (301) 812-3900

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

Interoperability endpoints

  • Direct secure messaging: michele.cleary@mdonc.ikm.direct-ci.com

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1811780273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 LAKESIDE DR",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207549418",
            "telephone_number": "410-610-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 MATAPEAKE BUSINESS DR STE 200",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133045",
            "telephone_number": "410-610-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R118530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

Verify at the official NPI Registry.