Individual provider Active NPI

Mariechantal Fletcher, DNP FNP-BC

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1992944847
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R209991 Issued in MD
Practice address
14300 Gallant Fox LN Ste 202
Bowie, MD 20715-4033
Phone
(301) 321-7741
Fax
(301) 291-7071
NPI assigned
Feb 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1031572 DC
Family Nurse Practitioner 363LF0000X R209991 MD Primary
Family Nurse Practitioner 363LF0000X NP1031572 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R209991 MD

Addresses

Primary practice location

14300 Gallant Fox LN Ste 202
Bowie, MD 20715-4033

Mailing address

4500 Forbes Blvd Ste 430
Lanham, MD 20706-6301
Phone (301) 321-7741

Other practice location 1

12325 New Hampshire Ave
Silver Spring, MD 20904-2957
Phone (301) 622-4600

Other practice location 2

6200 Oregon Ave NW
Washington, DC 20015-1543
Phone (301) 321-7741

Other identifiers 2

IdentifierTypeStateIssuer
854305400MedicaidMD
010287032MedicaidDC

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
I20161019001533 DC Practitioner - Nurse Practitioner 9335437672 Reassigns benefits to 4 organizations
I20201015002202 MD Practitioner - Nurse Practitioner 9335437672 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nu Pathway Healthcare and Wellness LLCGroup PAC ID 9830529585, 6 clinicians

Practice addresses (Care Compare)

14300 Gallant Fox LN
Suite 202
Bowie, MD 20715-4033

2015 E W Hwy
Peak Healthcare at Fox Chase
Silver Spring, MD 20910-2602
Phone (202) 932-8149

Hospital & facility affiliations

  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1031572DCMDPsychiatric/Mental Health Nurse Practitioner
R209991MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Aug 1, 2021 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Aug 1, 2021 Accepting new patients
Nu Pathway Healthcare and Wellness LLC Psychiatric/Mental Health CurrentSince Oct 1, 2021 Accepting new patients
Nu Pathway Healthcare and Wellness LLC Psychiatric/Mental Health CurrentSince Oct 7, 2019 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 11, 2024 Accepting new patients
Nu Pathway Healthcare and Wellness LLC Psychiatric/Mental Health CurrentSince Jan 29, 2020 Accepting new patients
Nu Pathway Healthcare and Wellness LLC Family Current Accepting new patients
Alignmed Partners, PC CurrentSince Aug 1, 2021 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Aug 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6200 Oregon Ave NW
Washington, DC 20015
Phone (202) 541-0149

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

14300 Gallant Fox Ln
Ste 202
Bowie, MD 20715
Phone (202) 932-8149

200 Morgnec Rd
Chestertown, MD 21620
Phone (410) 778-1330

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

4500 Forbes Blvd
Ste 430
Lanham, MD 20706
Phone (240) 764-7202

4500 Forbes Blvd
Lanham, MD 20706
Phone (240) 459-6084

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9109 Liberty Rd
Randallstown, MD 21133
Phone (410) 655-7373

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

12325 New Hampshire Ave
Silver Spring, MD 20904
Phone (301) 622-4600

2015 E West Hwy
Silver Spring, MD 20910
Phone (202) 932-8149

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

7525 Carroll Ave
Takoma Park, MD 20912
Phone (301) 270-4200

Interoperability endpoints

  • Direct secure messaging: cfletcher@nphaw-md.direct.office.nextgen.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1992944847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 FORBES BLVD STE 430",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066301",
            "telephone_number": "301-321-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 202",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154033",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12325 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209042957",
            "country_code": "US",
            "telephone_number": "301-622-4600",
            "fax_number": "877-828-2060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Oregon Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200151543",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "MARIECHANTAL",
        "name_prefix": "Dr.",
        "credential": "DNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1031572",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R209991",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1031572",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R209991",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854305400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010287032",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.