Antietam Family Health, LLC
NPI 1003693102ActiveOrganization· Nurse Practitioner, Family· Hagerstown, MD
Nurse Practitioner, Family in Hagerstown, Maryland, registered in NPPES in September 2023. The authorized official on file is Mark Anthony Roncone, Owner/Provider.
Overview
| NPI | 1003693102 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2023 |
| Last updated in NPPES | Sep 12, 2023 |
| Certified by provider | Sep 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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