Individual provider Active NPI

Mary Jo Autery, FNP-C

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1932817962
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R22174 Issued in MD
Practice address
8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346
Phone
(443) 383-9300
Fax
(855) 866-8710
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 R22174 MD Primary

Addresses

Primary practice location

8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346

Mailing address

909 Ridgebrook Rd Ste 300
Sparks Glencoe, MD 21152-9477
Phone (443) 383-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20230525002105 MD Practitioner - Nurse Practitioner 2961868419 Reassigns benefits to 1 organization
I20230525002452 DC Practitioner - Nurse Practitioner 2961868419 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R22174MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates CurrentSince Apr 17, 2023 Accepting new patients
Senf NP Family Medicine PLLC Past Accepting new patients

Locations

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

909 Ridgebrook Rd
Sparks Glencoe, MD 21152
Phone (301) 938-0115

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1932817962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 300",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529477",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 COLESVILLE RD STE 1100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106346",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTERY",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R22174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.