Kristie Lee Gauck, CRNP-F

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R162150 Issued in MD

Practice address

5745 Cloverdale Rd
Hurlock, MD 21643-3025

Phone

(410) 943-3275

NPI assigned

Aug 20, 2010

Last updated

Aug 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Dorchester County Health DepartmentGroup PAC ID 7618228453, 2 clinicians

Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayhealth Medical Center, Inc.

  dba Medical Alternative Care

  • Clinic/Center
  • Milford, DE
  • NPI 1265422828
  Medicare reassignment Care Compare group NPD
• Dorchester County Health Department

  • Public Health or Welfare Agency
  • Cambridge, MD
  • NPI 1134618721
  Medicare reassignment Care Compare group
• Bayhealth Medical Center, Inc

  • Gastroenterology Physician
  • Milford, DE
  • NPI 1639938525
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1003122649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 CLOVERDALE RD",
            "city": "HURLOCK",
            "state": "MD",
            "postal_code": "216433025",
            "telephone_number": "410-943-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 CLOVERDALE RD",
            "city": "HURLOCK",
            "state": "MD",
            "postal_code": "216433025",
            "telephone_number": "410-943-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUCK",
        "first_name": "KRISTIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CRNP-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R162150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorchester County Health Department
• Dorchester County Health Department - SBWC-MH - Hurlock
• Dorchester County Health Department - SBWC-MH - NDHS
• Dorchester County Health Department - SBWC-MH - NDMS
• Michael Fadden, MD
• Jennifer Kelly Grier, RPH
• Healthstat Wellness Amick Farms
• Hope Therapy and Consulting Services, LLC
• Jasmine Lafon
• Taylor Martin, PHARMD

• Family Nurse Practitioner in Hurlock, MD
• Providers in Hurlock, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.