Individual provider Active NPI

Molly Chiddister, CRNP

  • Women's Health Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1891369757
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R276134 Issued in MD
Practice address
2000 Medical Pkwy Ste 304
Annapolis, MD 21401-3745
Phone
(410) 573-9530
NPI assigned
May 16, 2021
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 29484 TN
Women's Health Nurse Practitioner 363LW0102X 0024184307 VA
Women's Health Nurse Practitioner 363LW0102X R276134 MD Primary

Addresses

Primary practice location

2000 Medical Pkwy Ste 304
Annapolis, MD 21401-3745

Mailing address

2000 Medical Pkwy Ste 304
Annapolis, MD 21401-3745
Phone (410) 573-9530

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
I20220926000305 DC Practitioner - Nurse Practitioner 2264822840 Reassigns benefits to 1 organization
I20251217003032 MD Practitioner - Nurse Practitioner 2264822840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

1630 Main St
Suite 211
Chester, MD 21619-2793
Phone (410) 573-9530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29484TNMDPharmacist
R276134MDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Neighborhood Health CurrentSince Aug 1, 2022 Accepting new patients
Neighborhood Health CurrentSince Aug 1, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Saint Thomas Medical Partners PastSince May 1, 2021 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients
Arizons Obstetrics and Gynecology, PLLC PastSince May 1, 2021 Accepting new patients

Locations

2000 Medical Pkwy
Ste 304
Annapolis, MD 21401
Phone (410) 573-9530

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

1630 Main St
Ste 211
Chester, MD 21619
Phone (410) 573-9530

1200 N Howard St
Alexandria, VA 22304
Phone (703) 519-5979

2 E Glebe Rd
Alexandria, VA 22305
Phone (703) 565-5568

6677 Richmond Hwy
Alexandria, VA 22306

8221 Willow Oaks Corporate Dr
Ste 450
Fairfax, VA 22031
Phone (703) 237-3446

Interoperability endpoints

  • Direct secure messaging: molly.fonseca.p1@direct.neighborhoodhealthtn.nextgenshare.com
  • Direct secure messaging: molly.fonseca@nhnva.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1621123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1891369757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 304",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013745",
            "telephone_number": "410-573-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 304",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013745",
            "telephone_number": "410-573-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDDISTER",
        "first_name": "MOLLY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-16",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "29484",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024184307",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R276134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.