Antietam Family Health, LLC
NPI 1548972318 · Family Nurse Practitioner · Hagerstown, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Antietam Family Health, LLC is a Family Nurse Practitioner organization in Hagerstown, MD (NPI 1548972318).
Provider details
- NPI number
- 1548972318
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mark Roncone, Owner(240) 203-8864
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 427 E Patrick StFrederick, MD 21701-5777Phone: (240) 203-8864Fax: (240) 866-8173
- 330 Frederick StHagerstown, MD 21740-6112Phone: (240) 203-8864Fax: (240) 866-8173
Registry dates
- Enumerated
- 2022-12-23
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Frequently asked questions
- What is Antietam Family Health, LLC's NPI number?
- Antietam Family Health, LLC's National Provider Identifier (NPI) is 1548972318, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Antietam Family Health, LLC?
- Antietam Family Health, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Antietam Family Health, LLC located?
- Antietam Family Health, LLC's practice location on file with NPPES is 1219 Mount Aetna Rd Ste 201, Hagerstown, MD 21742-6550.
- What is Antietam Family Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Antietam Family Health, LLC is (240) 203-8864.
- Does Antietam Family Health, LLC accept Medicare?
- Antietam Family Health, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Antietam Family Health, LLC?
- The authorized official listed on Antietam Family Health, LLC's NPPES record is Mark Roncone, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Antietam Family Health, LLC's NPI active?
- Yes — Antietam Family Health, LLC's NPI (1548972318) is active in the NPPES registry as of the last update on 2026-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.