Organization Active NPI

Advanced Primary Care and Alternative Medicine, LLC

  • Gerontology Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1992455158
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
ADVANCED PRIMARY CARE AND ALTERNATIVE MEDICINE, LLC
Practice address
201 Prospect Ave Ste 104
Hagerstown, MD 21742-3204
Phone
(301) 302-3704
Fax
(833) 615-2173
NPI assigned
Mar 28, 2022
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
April Small, DNPNPI 1225408206
Title
Owner
Phone
(301) 302-3704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

201 Prospect Ave Ste 104
Hagerstown, MD 21742-3204

Mailing address

201 Prospect Ave Ste 104
Hagerstown, MD 21742-3204
Phone (301) 302-3704

Other practice location 1

20009 Rosebank Way
Hagerstown, MD 21742-6739
Phone (301) 733-3353

Other practice location 2

1175 Professional Ct
Hagerstown, MD 21740-5906
Phone (301) 766-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421000410 MD Part B Supplier - Clinic/Group Practice 1254728249 Receives reassigned benefits from 1 practitioner
Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Locations

19813 Leitersburg Pike
Hagerstown, MD 21742
Phone (301) 302-3704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1992455158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PROSPECT AVE STE 104",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423204",
            "telephone_number": "301-302-3704",
            "fax_number": "717-655-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PROSPECT AVE STE 104",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423204",
            "telephone_number": "301-302-3704",
            "fax_number": "833-615-2173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20009 Rosebank Way",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426739",
            "country_code": "US",
            "telephone_number": "301-733-3353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1175 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405906",
            "country_code": "US",
            "telephone_number": "301-766-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PRIMARY CARE AND ALTERNATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-302-3704",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.