Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Constance Maria Derosa

Individual provider Adult Health Nurse Practitioner · NPI 1508428103

Constance Maria Derosa is a Nurse Practitioner in Frederick, Maryland. Qualified in 2015, 11 years ago. Practices with Frederick Health Medical Group LLC, a 202-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
11
Licensed in
MD
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone: (402) 566-3031
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 46b Thomas Johnson Dr Ste 200, Frederick, MD 21702-4501 — (301) 695-6777

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence R119937 (MD)

Record details

NPI number1508428103
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing addressPo Box 37086, Baltimore, MD 21297-3086

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Frederick Health Medical Group Llc — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Frederick