Individual provider Active NPI

Mary Claire Perry, CPNP-AC/PC

  • Pediatric Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1003420282
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R208134 Issued in MD
Practice address
737 W Lombard St Ste 314
Baltimore, MD 21201-1009
Phone
(410) 328-5887
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R208134 MD Primary

Addresses

Primary practice location

737 W Lombard St Ste 314
Baltimore, MD 21201-1009

Mailing address

100 Riggs Ave
Severna Park, MD 21146-4420
Phone (410) 991-2637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R208134MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatric Assoc PA CurrentSince Nov 9, 2020 Accepting new patients
University of Maryland Pediatric Associates, PA CurrentSince Nov 9, 2020 Accepting new patients
University of Maryland Pediatric Associates, PA Current Accepting new patients

Locations

22 S Greene St
Fl 5
Baltimore, MD 21201
Phone (410) 328-5887

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

Interoperability endpoints

  • Direct secure messaging: mperry1030756@direct.hopkinsmedicine.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1003420282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIGGS AVE",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464420",
            "telephone_number": "410-991-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 W LOMBARD ST STE 314",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011009",
            "telephone_number": "410-328-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "CPNP-AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R208134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.