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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: August 16, 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 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
Phone(240) 460-1988
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
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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.

NADER A DAKAK MD
Internal Medicine (Cardiovascular Disease)
12150 ANNAPOLIS RD STE 105
GLENN DALE, MD 20769
Prince George's County (301) 805-1250
CAPITOL CARDIOLOGY ASSOCIATES, LLC
Internal Medicine (Cardiovascular Disease)
12150 ANNAPOLIS RD STE 105
GLENN DALE, MD 20769
Prince George's County (301) 805-1250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey White's NPI number?

The NPI number for Audrey White is 1023585106. It was assigned to this individual provider in the NPPES registry on October 26, 2018.

Where is Audrey White located?

Audrey White practices at 12150 Annapolis Rd Ste 105, Glenn Dale, MD 20769. The listed phone number is (240) 460-1988.

What is Audrey White's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Audrey White enrolled in Medicare?

Yes. Audrey White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Audrey White was last updated on September 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.