ANTIETAM FAMILY HEALTH, LLC
NPI 1548972318
Nurse Practitioner - Family in Hagerstown, MD
About Antietam Family Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTIETAM FAMILY HEALTH, LLC (NPI 1548972318) is a healthcare organization registered as a family in Hagerstown, Maryland and active in the NPI registry since December 2022. The organization maintains 2 additional practice locations and lists Mark Anthony Roncone, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Antietam Family Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Antietam Family Health, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Antietam Family Health, LLC's NPI number?
The NPI number for Antietam Family Health, LLC is 1548972318. It was assigned to this organization in the NPPES registry on December 23, 2022.
Where is Antietam Family Health, LLC located?
Antietam Family Health, LLC is located at 1219 Mount Aetna Rd Ste 201, Hagerstown, MD 21742. The listed phone number is (240) 203-8864.
What is Antietam Family Health, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Antietam Family Health, LLC enrolled in Medicare?
Yes. Antietam Family Health, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Antietam Family Health, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Antietam Family Health, 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. The largest specialties are Nurse Practitioner (7), Clinical Social Worker (1) and Mental Health Counselor (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Antietam Family Health, LLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Antietam Family Health, Llc · NPI 1548972318
Family organization in Hagerstown, Maryland. Organization record, active in the CMS NPPES registry since December 23, 2022.
## Identity
- **NPI:** 1548972318 (Entity type: Organization)
- **Enumerated:** December 23, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Mark Roncone, OWNER
## Practice location
- **Address:** 1219 MOUNT AETNA RD STE 201, Hagerstown, MD 21742-6550
- **Phone:** (240) 203-8864 · **Fax:** (240) 866-8173
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Clinical Social Worker (1), Mental Health Counselor (1); 2 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2026
- **Other identifiers:** Medicaid 319064100 (MD); Medicaid 287005300 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1548972318) · Data from the CMS NPPES public registry.