Maria Rosario Agustin De la Cruz, MSN, CRNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R163177 Issued in MD

Practice address

15485 Prince Frederick Rd # 102
Hughesville, MD 20637-9998

Phone

(301) 814-8228

NPI assigned

Nov 3, 2014

Last updated

Oct 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Health Provider Management, LLC

  dba My Doctor

  • Urgent Care Clinic/Center
  • Waldorf, MD
  • NPI 1629361274
  Medicare reassignment NPD
• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393

  MD

  Medicare reassignment NPD
• Mdics Rehabilitative Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1124313309

  DC

  Medicare reassignment
• Urgent Care 2 You, LLC

  • Family Nurse Practitioner
  • Hughesville, MD
  • NPI 1720623069
  Authorized official Same address or phone
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102
  NPD

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1942605936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6279 BAYWOOD CT",
            "city": "HUGHESVILLE",
            "state": "MD",
            "postal_code": "206372575",
            "telephone_number": "301-814-8228",
            "fax_number": "240-254-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15485 PRINCE FREDERICK RD # 102",
            "city": "HUGHESVILLE",
            "state": "MD",
            "postal_code": "206379998",
            "telephone_number": "301-814-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Saint Patricks Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206035532",
            "country_code": "US",
            "telephone_number": "301-396-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "MARIA ROSARIO",
        "middle_name": "AGUSTIN",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R163177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Michelle Brown-Porter, OTR/L
• Stephanie Buck
• Centrepointe Counseling, Inc.
• Jennifer Cheeseman, PA-C
• Chesapeake-Potomac Home Health Agency, Inc
• Dana Dehetre, COTA/L
• Dellcare Senior Services, LLC
• Timothy Brett Dofflemyer
• Enhancing Your Walk LLC
• Diana Falcone

• Family Nurse Practitioner in Hughesville, MD
• Providers in Hughesville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.