AUDREY OLIVIA WHITE DNP, FNP-C
NPI 1023585106
Nurse Practitioner - Family in Glenn Dale, MD

Active since October 26, 2018PECOS EnrolledAccepts Medicare Assignment
12150 ANNAPOLIS RD STE 105, GLENN DALE, MD 20769(240) 460-1988(301) 805-2076 Get Directions Write a Review

NPPES record last updated: September 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2022, Jun 20, 2019, Oct 26, 2018 (3 updates tracked since 2018).

About Audrey Olivia White Dnp, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY OLIVIA WHITE DNP, FNP-C (NPI 1023585106) is an individual family provider in Glenn Dale, Maryland, licensed in Maryland (R110790) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Annapolis, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023585106
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAUDREY OLIVIA WHITECredential: DNP, FNP-C
Location Address12150 ANNAPOLIS RD STE 105Glenn Dale, MD 20769-9183
Mailing Address12150 Annapolis Rd Ste 105Glenn Dale, MD 20769-9183 · (240) 460-1988 · Fax (301) 805-0795
Fax(301) 805-2076
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 26, 2018
Last NPPES UpdateSeptember 4, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2022
NPI 1023585106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R110790
12150 ANNAPOLIS RD STE 105, Glenn Dale, MD 20769

Secondary Practice Location 1

Location 12601 Riva RdAnnapolis, MD 21401-7304 · Phone (410) 571-2090

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Audrey Olivia White Dnp, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981939733
PECOS Enrollment IDI20190716002373
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20769 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
12150 ANNAPOLIS RD STE 105
GLENN DALE, MD 20769
Internal Medicine (Cardiovascular Disease)
12150 ANNAPOLIS RD STE 105
GLENN DALE, MD 20769

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023585106, enumerated as an "individual" on October 26, 2018.

The provider is located at 12150 ANNAPOLIS RD STE 105 GLENN DALE, MD 20769 and the phone number is (240) 460-1988.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.