Individual provider Active NPI

Nicole Haskins, RN, CRNP

  • Family Nurse Practitioner
  • District Heights, MD
National Provider Identifier
1851344097
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R171119 Issued in MD
Practice address
6400 Marlboro Pike
District Heights, MD 20747-2841
Phone
(301) 736-7000
Fax
(301) 736-6916
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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 R171119 MD Primary

Addresses

Primary practice location

6400 Marlboro Pike
District Heights, MD 20747-2841

Mailing address

6400 Marlboro Pike
District Heights, MD 20747-2841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060720000249 DC Practitioner - Nurse Practitioner 9032122890 Reassigns benefits to 1 organization
I20151009000122 MD Practitioner - Nurse Practitioner 9032122890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Physician Services IncGroup PAC ID 4284631540, 144 clinicians

Practice addresses (Care Compare)

10709 Indian Head Hwy
Suite D
Fort Washington, MD 20744-4036
Phone (240) 724-6018

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (301) 279-6000

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R171119MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 27, 2015 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Aug 24, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 27, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adventist Physician Services (Wah) Past Accepting new patients
Primecare Medicine PA PastSince Jun 1, 2004 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

10709 Indian Head Hwy
Fort Washington, MD 20744

10709 Indian Head Hwy
#D1
Fort Washington, MD 20744

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

10750 Columbia Pike
Ste 320
Silver Spring, MD 20901
Phone (301) 593-9800

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

12070 Old Line Ctr
Ste 302
Waldorf, MD 20602
Phone (301) 645-6667

Interoperability endpoints

  • Direct secure messaging: nicole.haskins@ahm.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1851344097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 MARLBORO PIKE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MARLBORO PIKE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472841",
            "telephone_number": "301-736-7000",
            "fax_number": "301-736-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R171119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

Verify at the official NPI Registry.