Active NPI
Kent Elias Perttula, NP
- Nurse Practitioner
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R270779
- Practice address
- 501 W 7TH St
Frederick, MD 21701-4586 - Phone
- (240) 215-6310
- Fax
- (240) 566-7754
- NPI assigned
- Apr 2, 2024
- Last updated
- Aug 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95018766 | CA | |
| Nurse Practitioner | 363L00000X | R270779 | MD | Primary |
Addresses
Primary practice location
501 W 7TH St
Frederick, MD 21701-4586
Mailing address
1 Frederick Health Way
Frederick, MD 21701-9435
Other practice location 1
38600 Medical Center Dr
Palmdale, CA 93551-4483
Phone (805) 338-3282
Other practice location 2
1194 Dutchmans Creek Dr
Brunswick, MD 21716-9786
Phone (240) 215-6310
Other practice location 3
16403 Old Emmitsburg Rd
Emmitsburg, MD 21727-8929
Phone (240) 215-6310
Other practice location 4
3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
1194 Dutchmans Creek Dr
Unit 3
Brunswick, MD 21716-9787
Phone (240) 215-6310
16403 Old Emmitsburg Rd
Emmitsburg, MD 21727-8929
Phone (240) 215-6310
3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310
400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310
501 W 7TH St
Suite 104
Frederick, MD 21701-5096
Phone (240) 215-6310
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018766 | CA | MD | Nurse Practitioner |
| R270779 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Em Alliance California, Apc | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
1194 Dutchmans Creek Dr
Brunswick, MD 21716
Phone (240) 566-3100
16403 Old Emmitsburg Rd
Emmitsburg, MD 21727
Phone (240) 566-3100
1 Frederick Health Way
Frederick, MD 21701
Phone (240) 439-8812
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574
504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452
3430 Worthington Blvd
Urbana, MD 21704
Phone (240) 215-6900
L4421
Columbus, OH 43260
Organizations & group practices 5
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.
-
dba Frederick Health Medical Group
- Family Medicine Physician
- Frederick, MD
- NPI 1619258225
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1376305755
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1114771862
-
dba Frederick Health Medical Group
- Family Medicine Physician
- Myersville, MD
- NPI 1679397103
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1003668138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FREDERICK HEALTH WAY",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217019435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014586",
"telephone_number": "240-215-6310",
"fax_number": "240-566-7754"
}
],
"practiceLocations": [
{
"address_1": "38600 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Palmdale",
"state": "CA",
"postal_code": "935514483",
"country_code": "US",
"telephone_number": "805-338-3282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1194 Dutchmans Creek Dr",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "MD",
"postal_code": "217169786",
"country_code": "US",
"telephone_number": "240-215-6310",
"fax_number": "240-566-7754",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16403 Old Emmitsburg Rd",
"address_purpose": "LOCATION",
"city": "Emmitsburg",
"state": "MD",
"postal_code": "217278929",
"country_code": "US",
"telephone_number": "240-215-6310",
"fax_number": "240-566-7754",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3430 Worthington Blvd",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217047017",
"country_code": "US",
"telephone_number": "240-215-6310",
"fax_number": "240-566-7754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERTTULA",
"first_name": "KENT",
"middle_name": "ELIAS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-02",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95018766",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R270779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.