AUDREY OLIVIA WHITE DNP, FNP-C
NPI 1023585106
Nurse Practitioner - Family in Glenn Dale, MD
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Audrey White reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glenn Dale, MD 20769
- Reassigned Medicare billing, District of Columbia enrollment
- 2 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, District of Columbia enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
GLENN DALE, MD 20769
GLENN DALE, MD 20769
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.
Which organizations bill Medicare for Audrey White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audrey White reassigns Medicare benefits to 2 organizations: (Glenn Dale, MD) and Capitol Cardiology Associates, LLC (Lanham, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrey White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 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.
# Audrey Olivia White, DNP, FNP-C · NPI 1023585106
Family physician in Glenn Dale, Maryland. Individual provider, active in the CMS NPPES registry since October 26, 2018.
## Identity
- **NPI:** 1023585106 (Entity type: Individual)
- **Enumerated:** October 26, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R110790 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12150 ANNAPOLIS RD STE 105, Glenn Dale, MD 20769-9183
- **Phone:** (240) 460-1988 · **Fax:** (301) 805-2076
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): (NPI 1457332652, Glenn Dale, MD); Capitol Cardiology Associates, LLC (NPI 1609855733, Lanham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023585106) · Data from the CMS NPPES public registry.