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DENISE COLTON CRNP
NPI 1427494343
Nurse Practitioner - Family in Waldorf, MD

Active since May 18, 2013PECOS EnrolledAccepts Medicare Assignment
12070 OLD LINE CTR, SUITE 302, WALDORF, MD 20602(301) 645-6667 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Denise Colton Crnp NPPES

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

DENISE COLTON CRNP (NPI 1427494343) is an individual family provider in Waldorf, Maryland, licensed in Maryland (R096044) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1427494343
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDENISE COLTONCredential: CRNP
Location Address12070 OLD LINE CTR, SUITE 302Waldorf, MD 20602-2513
Mailing Address11507 Trillum StBowie, MD 20721-2286 · (301) 390-3270
Phone(301) 645-6667
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 18, 2013
Last NPPES UpdateOctober 17, 2013
✔ NPI 1427494343 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 · R096044
12070 OLD LINE CTR, Waldorf, MD 20602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Denise Colton Crnp 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 ID7012158207
PECOS Enrollment IDI20130731000321
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Denise Colton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Care Center LLC
22 mi
Internal Medicine
950 N GLEBE RD, SUITE 4000
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 242 clinicians in this Medicare group
NPI 1164874426 (571) 366-8850
Privia Medical Group, LLC
22 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850
Minuteclinic LLC
33 mi
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, District of Columbia enrollment
  • 168 clinicians in this Medicare group
NPI 1134191836 (866) 389-2727

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
383 services247 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
177 services127 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
159 services159 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
145 services101 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
124 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
103 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%9,392 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
74%1,121 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%144 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%1,150 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%937 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
76%937 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
56%937 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers24 claims84 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims20 services$0.85 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$13.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers29 claims29 services$59.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

WILLIAM JOHN OETGEN M.D.
Specialist
12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602
Charles County (301) 705-7870
SEETARAMAYYA NAGULA M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602
Charles County (301) 645-8035
JOSEPH RAYMOND MURPHY M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Charles County (301) 645-8035
MS. JENNIFER LYNN KNODE PAC
Physician Assistant (Medical)
12070 OLD LINE CTR, STE 207
WALDORF, MD 20602
Charles County (301) 870-0660
JESSICA KHOURY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12070 OLD LINE CTR
SAINT CHARLES, MD 20602
Charles County (301) 870-4100
DR. DAWN STEPHANIE CHRISTOPHER MD
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, SUITE 303
WALDORF, MD 20602
Charles County (301) 645-5100
ROBERT TIMOTHY PACE MD
Family Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Charles County (301) 645-6667
TERENCE BERTELE M.D.
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, STE 303
WALDORF, MD 20602
Charles County (301) 645-5100

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 Denise Colton's NPI number?

The NPI number for Denise Colton is 1427494343. It was assigned to this individual provider in the NPPES registry on May 18, 2013.

Where is Denise Colton located?

Denise Colton practices at 12070 Old Line Ctr Suite 302, Waldorf, MD 20602. The listed phone number is (301) 645-6667.

What is Denise Colton's specialty?

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

Is Denise Colton enrolled in Medicare?

Yes. Denise Colton 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 Denise Colton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Colton reassigns Medicare benefits to 3 organizations: Privia Care Center LLC (Arlington, VA), Privia Medical Group, LLC (Arlington, VA) and Minuteclinic LLC (Rockville, 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 Denise Colton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Colton accept?

Health plans from Oscar Health list Denise Colton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denise Colton was last updated on October 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.