Individual provider Active NPI

Nina Rickey-Sharek, CRNP

  • Family Nurse Practitioner
  • Edgewood, MD
National Provider Identifier
1003586991
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R169715 Issued in MD
Practice address
1902 Waltman Rd
Edgewood, MD 21040-2338
Phone
(443) 643-7745
NPI assigned
Sep 14, 2021
Last updated
Mar 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R169715 MD Primary

Addresses

Primary practice location

1902 Waltman Rd
Edgewood, MD 21040-2338

Mailing address

11311 McCormick Rd Ste 350
Hunt Valley, MD 21031-8618
Phone (443) 849-6257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220317001505 MD Practitioner - Nurse Practitioner 9032504634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health to Home Medical ServicesGroup PAC ID 1254717200, 3 clinicians

Practice addresses (Care Compare)

Belcamp, MD 21017
Phone (443) 987-2272

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health to Home Medical Services CurrentSince Jun 12, 2023 Accepting new patients

Locations

4690 Millennium Dr
Ste 300
Belcamp, MD 21017
Phone (254) 835-3911

Interoperability endpoints

  • Direct secure messaging: nina.rickey-sharek.1@29140.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1003586991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 MCCORMICK RD STE 350",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318618",
            "telephone_number": "443-849-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 WALTMAN RD",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210402338",
            "telephone_number": "443-643-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKEY-SHAREK",
        "first_name": "NINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R169715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

Verify at the official NPI Registry.