Individual provider Active NPI

Annette Quick, CRNA

  • Certified Registered Nurse Anesthetist
  • Lanham, MD
National Provider Identifier
1891808960
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R106636 Issued in MD
Practice address
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone
(301) 552-8500
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R106636 MD Primary

Addresses

Primary practice location

8118 Good Luck Rd
Lanham, MD 20706-3574

Mailing address

10314 Garson Ter
Lanham, MD 20706-2485
Phone (301) 221-6303

Other practice location 1

3001 Hospital Dr
Cheverly, MD 20785-1189
Phone (443) 332-4088

Other identifiers 1

IdentifierTypeStateIssuer
015604300MedicaidMD

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040920000131 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042288102 Reassigns benefits to 5 organizations
I20070925000494 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042288102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Associates, LLCGroup PAC ID 0547285314, 4 clinicians

Practice addresses (Care Compare)

7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2247
Phone (301) 220-2333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R106636MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2019 Accepting new patients
Potomac Anesthesia Consultants LLC CurrentSince May 1, 2022 Accepting new patients
Pain Management Associates, LLC CurrentSince Dec 1, 2023 Accepting new patients
Montgomery Anesthesia Care, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Georgetown Pain Management LLC CurrentSince Dec 1, 2023 Accepting new patients
Sterling Anesthesia Management Services of Maryland Past Accepting new patients

Locations

1 University Ave
Ste 104
Westwood, MA 02090

7300 Hanover Dr
Ste 204
Greenbelt, MD 20770
Phone (240) 297-9016

3280 Urbana Pike
Ste 104
Ijamsville, MD 21754
Phone (240) 436-6440

15001 Shady Grove Rd
Ste 400
Rockville, MD 20850
Phone (301) 340-1188

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

Organizations & group practices 7

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1891808960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10314 GARSON TER",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062485",
            "telephone_number": "301-221-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063574",
            "telephone_number": "301-552-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Cheverly",
            "state": "MD",
            "postal_code": "207851189",
            "country_code": "US",
            "telephone_number": "443-332-4088",
            "fax_number": "410-793-0809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUICK",
        "first_name": "ANNETTE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R106636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015604300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.