MS. BETHANY RODERER (CRNP) – Nurse Practitioner, NPI 1730458571
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
Provider Addresses for MS. BETHANY RODERER (CRNP)
PO BOX 791523
BALTIMORE, MD 212791523
Phone: (866) 266-0555
Fax: (866) 266-4999
Type: Mailing
6410 ROCKLEDGE DR STE 660
BETHESDA, MD 208171915
Phone: (301) 571-0019
Fax: (240) 482-0555
Type: Location
8813 MAYWOOD AVE
SILVER SPRING, MD 209105024
Phone: (240) 535-1569
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150226001178 | I | Nurse Practitioner | DC | TBD |
| I20250716002867 | I | Nurse Practitioner | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 21279)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | ME | 90670 | Pneumococcal vaccine for injection into muscle | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| Internal Medicine | MD | |
| Nurse Practitioner | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Physician Assistant | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.