Individual provider Active NPI

Kent Elias Perttula, NP

  • Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1003668138
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R270779 Issued in MD
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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

Enrollment IDStateProvider typePAC IDDetails
I20240523003015 CA Practitioner - Nurse Practitioner 6608218540 Reassigns benefits to 1 organization
I20250825002779 MD Practitioner - Nurse Practitioner 6608218540 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

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

LicenseStateTypeSpecialty
95018766CAMDNurse Practitioner
R270779MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Sep 1, 2025 Accepting new patients
Em Alliance California, Apc CurrentSince May 1, 2024 Accepting new patients
Frederick Health Medical Group LLC Current Accepting new patients
Frederick Health Medical Group LLC CurrentSince Sep 1, 2025 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.