Individual provider Active NPI

Akila M Roberts, CRNP

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1942851076
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R216011 Issued in MD
Practice address
1125 West Street
Suite 200 #342
Annapolis, MD 21401
Phone
(202) 672-4530
NPI assigned
Sep 20, 2019
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 R216011 MD Primary

Addresses

Primary practice location

1125 West Street
Suite 200 #342
Annapolis, MD 21401

Mailing address

1125 West Street
Suite 200 #342
Annapolis, MD 21401
Phone (202) 672-4530

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
I20200116001575 DC Practitioner - Nurse Practitioner 9234564451 Reassigns benefits to 2 organizations
I20200116001828 MD Practitioner - Nurse Practitioner 9234564451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

5000 Nannie Helen Burroughs Ave NE
Deanwood Rehab and Wellness Ctr
Washington, DC 20019-5506
Phone (202) 399-4505

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R216011MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
I C Care Corporation CurrentSince Jun 25, 2023 Accepting new patients
M Medical Group, Inc. Current Accepting new patients
M Medical Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients

Locations

5000 Nannie Helen Burroughs Ave NE
Washington, DC 20019
Phone (202) 399-4505

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

1100 Mercantile Ln
Ste 135
Uppr Marlboro, MD 20774
Phone (301) 772-2202

Organizations & group practices 4

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1942851076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 WEST STREET",
            "address_2": "SUITE 200 #342",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "202-672-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 WEST STREET",
            "address_2": "SUITE 200 #342",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "202-672-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "AKILA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R216011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.