Active NPI
Rene Johnson, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- R134332
- Practice address
- 173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530 - Phone
- (888) 731-8994
- NPI assigned
- Mar 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R134332 | MD | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | R134332 | MD | Primary |
Addresses
Primary practice location
173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530
Mailing address
173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530
Phone (888) 731-8994
Other practice location 1
601 Pennsylvania Ave NW Bldg Suite900
Washington, DC 20004-2601
Phone (888) 731-8994
Other practice location 2
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994
Other practice location 3
1101 Wilson Blvd Fl 6
Arlington, VA 22209-2281
Phone (888) 731-8994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058443600 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rene.johnson.p1@direct.cwcare.nextgenshare.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 43.1 of 100
- Quality
- 7.9
- Improvement activities
- 40
- Cost
- 79.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Women'S Care, L.L.C. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Integrative Womens Care PC | Past | Accepting new patients |
Locations
11850 W Market Pl
Ste P
Fulton, MD 20759
8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759
9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501
Interoperability endpoints
- rene.johnson.1@27069.direct.athenahealth.com
- rene.johnson.p1@direct.cwcare.nextgenshare.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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1902120082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 SAINT PATRICKS DR STE 104",
"city": "WALDORF",
"state": "MD",
"postal_code": "206035530",
"telephone_number": "888-731-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 SAINT PATRICKS DR STE 104",
"city": "WALDORF",
"state": "MD",
"postal_code": "206035530",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [
{
"address_1": "601 Pennsylvania Ave NW Bldg Suite900",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200042601",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 N Orange Ave Ste 800",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328012381",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Wilson Blvd Fl 6",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222092281",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "RENE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-18",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R134332",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "MD",
"license": "R134332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058443600",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rene.johnson.p1@direct.cwcare.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9420 Key West Ave",
"address_2": "Suite 415",
"city": "Rockville",
"state": "MD",
"country_code": "US",
"postal_code": "208503334",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.