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BROOKSIDE HEALTH & WELLNESS LLC
NPI 1164930533
Nurse Practitioner - Family in Oakland, MD

Active since January 18, 2018
6500 THAYER CTR, OAKLAND, MD 21550(301) 334-5610(888) 843-8457 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 21, 2021, Mar 19, 2018, Mar 6, 2018 and 1 more (4 updates tracked since 2018).

About Brookside Health & Wellness Llc NPPES

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

BROOKSIDE HEALTH & WELLNESS LLC (NPI 1164930533) is a healthcare organization registered as a family in Oakland, Maryland and active in the NPI registry since January 2018. The organization lists Rachel Renee Friend-lantz, Crnp, as its authorized official.

NPPES Registry Identity

NPI1164930533
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBROOKSIDE HEALTH & WELLNESS LLC
Location Address6500 THAYER CTROakland, MD 21550-1130
Mailing AddressPo Box 654Oakland, MD 21550-4654 · (301) 334-5610 · Fax (888) 843-8457
Phone(301) 334-5610
Fax(888) 843-8457
Organization SubpartNo
Authorized OfficialRachel Renee Friend-lantzCrnp · (301) 616-6333
Enumeration DateJanuary 18, 2018
Last NPPES UpdateOctober 16, 20254 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1164930533 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 · R174165
6500 THAYER CTR, Oakland, MD 21550
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brookside Health & Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Brookside Health & Wellness LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Rachel Friend-Lantz, NP-C
Nurse Practitioner
NPI 1649562901
6500 THAYER CTR
Oakland, MD 21550
(301) 334-5610
✔ PECOS✔ Accepts MedicareSame address
Jennifer Resh, CRNP
Nurse Practitioner
NPI 1588111884
3233 CHESTNUT RIDGE RD # B
Grantsville, MD 21536
(301) 697-3334
✔ PECOS25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brookside Health & Wellness LLC's NPI number?

The NPI number for Brookside Health & Wellness LLC is 1164930533. It was assigned to this organization in the NPPES registry on January 18, 2018.

Where is Brookside Health & Wellness LLC located?

Brookside Health & Wellness LLC is located at 6500 Thayer Ctr, Oakland, MD 21550. The listed phone number is (301) 334-5610.

What is Brookside Health & Wellness LLC's specialty?

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

Is Brookside Health & Wellness LLC enrolled in Medicare?

Yes. Brookside Health & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brookside Health & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Brookside Health & Wellness LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brookside Health & Wellness LLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.