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ANGEL MARIE MEDINA
NPI 1629852199
Nurse Practitioner - Family in Boonsboro, MD

Active since August 24, 2023
20311 LAPPANS RD STE 100, BOONSBORO, MD 21713(301) 799-1098 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2025, Aug 24, 2023 (2 updates tracked since 2023).

About Angel Marie Medina NPPES

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

ANGEL MARIE MEDINA (NPI 1629852199) is an individual family provider in Boonsboro, Maryland, licensed in Maryland (AC007935) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1629852199
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGEL MARIE MEDINA
Location Address20311 LAPPANS RD STE 100Boonsboro, MD 21713-2085
Mailing Address20311 Lappans Rd Ste 100Boonsboro, MD 21713-2085 · (301) 799-1098
Phone(301) 799-1098
Sole ProprietorYes
Enumeration DateAugust 24, 2023
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1629852199 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 · AC007935
20311 LAPPANS RD STE 100, Boonsboro, MD 21713
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Other Providers at the Same Location NPPES 5

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

DR. DAVID HENRY ROELKEY V M.D.
Family Medicine
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Washington County (301) 799-1098
JESSICA ROELKEY PA-C
Physician Assistant
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Washington County (301) 799-1098
PLEASANT VALLEY PRIMARY CARE
Family Medicine
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Washington County (301) 573-9453
SHABBAR HUSSAIN M.D.
Pain Medicine (Pain Medicine)
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Washington County (301) 432-8470
SEAN ROBERT MICHAEL SIMS PA-C
Physician Assistant
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Washington County (301) 432-8470

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 Angel Medina's NPI number?

The NPI number for Angel Medina is 1629852199. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Angel Medina located?

Angel Medina practices at 20311 Lappans Rd Ste 100, Boonsboro, MD 21713. The listed phone number is (301) 799-1098.

What is Angel Medina's specialty?

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

When was this NPI record last updated?

The NPPES record for Angel Medina was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.