Provider Partners Care Management LP
Organization Active NPI Nurse Practitioner · Columbia, MD
NPI 1013348028 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1013348028
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- PROVIDER PARTNERS CARE MANAGEMENT LP
- Practice address
- 8820 Columbia 100 Pkwy Ste 430
Columbia, MD 21045-2175 - Phone
- (443) 275-9800
- NPI assigned
- Dec 2, 2013
- Organization subpart
- No
Authorized official
- Name
- Keith Douglas Persinger
- Title
- Chief Operating Office
- Phone
- (410) 456-3946
Practitioners 728
-
Brian J Bosworth, APRN
-
Kiran Burla, MD
-
Robert G Collum, MD
-
Adrianne Crane, CRNP
-
Marilyn Stanford Davis, FNP-BC
-
Marc B. Feingold, M.D.
-
Stephen D Harrison, M.D.
-
Sachin Jain, MD
-
Harpal Jande, M.D.
-
Arnold Kop, M.D.
-
Seth E Levy, MD
-
Mazen I Madhoun, MD
-
Daniel Charles Miller, D.O.
-
Shirin Mohsini, FNP
-
Michael Nicolai, MD
-
Mustafa Rikabi, MD
-
Waqar A Saleem, MD
-
Israr Azim Siddiqi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (29 enrollments) in PA, TN, IN, OH, KY, WV, ND, NC, VA, FL, MI, MA, NY, GA, NE, IL, MO, IA, NJ, HI, OK, MD, MN, SC, AL, WI, WA, ID, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140220001179 | PA | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 24 practitioners Practice locations: Philadelphia, PA; York, PA |
| O20240326000174 | TN | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 26 practitioners Practice locations: Dover, TN; New Tazewell, TN; Smyrna, TN |
| O20240405001090 | IN | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 46 practitioners Practice locations: Bedford, IN; Bloomington, IN; Greensburg, IN; Greentown, IN; New Albany, IN |
| O20240411002117 | OH | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 85 practitioners Practice locations: Dayton, OH; Edgerton, OH; Hamilton, OH; Kirtland, OH; Wheelersburg, OH |
| O20240424001833 | KY | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 97 practitioners Practice locations: Vanceburg, KY; Stanford, KY; Greensburg, KY; Louisville, KY; Frankfort, KY; Campbellsville, KY |
| O20240430004109 | WV | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 3 practitioners Practice locations: Saint Albans, WV; Morgantown, WV; Glasgow, WV |
| O20240503001124 | ND | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 3 practitioners Practice locations: Fargo, ND; Grand Forks, ND; Minot, ND |
| O20240819000569 | NC | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 7 practitioners Practice locations: High Point, NC |
| O20241105003021 | VA | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 47 practitioners Practice locations: Chase City, VA; Clifton Forge, VA; Radford, VA; Sterling, VA |
| O20241119002158 | FL | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 47 practitioners Practice locations: Altamonte Springs, FL; Clearwater, FL; Delray Beach, FL; Hudson, FL; Kissimmee, FL; Melbourne, FL; Sarasota, FL |
| O20250109000531 | MI | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 51 practitioners Practice locations: Shelby Township, MI; Rochester Hills, MI; Romeo, MI |
| O20250117000411 | MA | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 1 practitioner Practice locations: Revere, MA |
| O20250122000372 | NY | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 32 practitioners Practice locations: Yonkers, NY; Far Rockaway, NY; Woodmere, NY; Southampton, NY; Massapequa, NY; Bronx, NY; Rockville Centre, NY |
| O20250124000857 | GA | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 14 practitioners Practice locations: Columbus, GA; Riverdale, GA; Rome, GA; Sandy Springs, GA |
| O20250129002638 | NE | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 8 practitioners Practice locations: Bellevue, NE; Lincoln, NE; Millard, NE; Papillion, NE |
| O20250130003855 | IL | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 30 practitioners Practice locations: Walnut, IL; Peru, IL; Oblong, IL; Mt Zion, IL; Lincolnwood, IL; Mount Vernon, IL; Charleston, IL; Lebanon, IL |
| O20250214001888 | MO | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 26 practitioners Practice locations: Springfield, MO |
| O20250225003141 | IA | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 26 practitioners Practice locations: Clive, IA |
| O20250226001514 | NJ | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 94 practitioners Practice locations: Denville, NJ; Montville, NJ |
| O20250507003407 | HI | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 19 practitioners Practice locations: Kaneohe, HI |
| O20250529003483 | OK | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 6 practitioners Practice locations: Broken Arrow, OK |
| O20250806000444 | MD | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbia, MD |
| O20250815000032 | MN | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 24 practitioners Practice locations: Plainview, MN |
| O20251016003859 | SC | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 3 practitioners Practice locations: Rock Hill, SC |
| O20260403000891 | AL | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 4 practitioners Practice locations: Huntsville, AL |
| O20260410000137 | WI | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 8 practitioners Practice locations: Milwaukee, WI |
| O20260410002625 | WA | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 4 practitioners Practice locations: Spokane Valley, WA |
| O20260414000497 | ID | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 3 practitioners Practice locations: Meridian, ID |
| O20260520000023 | DC | Part B Supplier - Clinic/Group Practice | 9335379270 |
Receives reassigned benefits from 13 practitioners Practice locations: Herndon, VA |
National Provider Directory
Locations
8132 Hudson Ave
Port Richey, FL 34667
Phone (727) 863-3100
640 Watertower Byp
Campbellsville, KY 42718
Phone (270) 465-4321
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
3403 W Mount Vernon St
Springfield, MO 65802
Phone (417) 864-5600
1320 N Hamilton St
Ste 105
High Point, NC 27262
Phone (336) 807-6469
1320 N Hamilton St
Ste 10
High Point, NC 27262
Phone (336) 905-7174
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
8820 Columbia 100 Pkwy Ste 430
Columbia, MD 21045-2175
Mailing address
8820 Columbia 100 Pkwy Ste 430
Columbia, MD 21045-2175
Phone (410) 967-2097
Other practice location 1
1379 Van Voorhis Rd
Morgantown, WV 26505-3415
Phone (304) 599-9480
Other practice location 2
117 Old Soldiers Ln
Frankfort, KY 40601-6159
Phone (502) 875-7272
Other practice location 3
6125 N Main St
Dayton, OH 45415-3110
Phone (937) 278-8211
Other practice location 4
328 W Vine St
Edgerton, OH 43517-9600
Phone (419) 298-2321
Other practice location 5
9685 Chillicothe Rd
Kirtland, OH 44094-8503
Phone (440) 256-8100
Other practice location 6
1302 Millville Ave
Hamilton, OH 45013-3961
Phone (513) 867-4100
Other practice location 7
2159 Dogwood Ridge Rd
Wheelersburg, OH 45694-9044
Phone (740) 574-2558
Other practice location 8
120 Melrose Dr
Glasgow, WV 25086
Phone (304) 595-1155
Other practice location 9
200 Mayfield Dr
Smyrna, TN 37167-3019
Phone (615) 355-0350
Other practice location 10
6500 MacCorkle Ave
Saint Albans, WV 25177-2326
Phone (304) 768-0002
Other practice location 11
537 Spring St
Dover, TN 37058-3232
Phone (931) 232-6902
Other practice location 12
902 Buchanan Rd
New Tazewell, TN 37825-7410
Phone (423) 626-8215
Other practice location 13
446 Mount Holly Ave
Louisville, KY 40206-2125
Phone (502) 897-1646
Other practice location 14
785 Elkridge Landing Rd Ste 300
Linthicum, MD 21090-2958
Phone (410) 967-2097
Other practice location 15
58 Eastham St
Vanceburg, KY 41179-5462
Phone (606) 796-3046
Other practice location 16
105 Harmon Hts
Stanford, KY 40484-1111
Phone (606) 365-2141
Other practice location 17
1101 Lyndon Ln
Louisville, KY 40222-4317
Phone (502) 425-0331
Other practice location 18
950 N Lakeview Dr
Greensburg, IN 47240-3405
Phone (812) 662-7778
Other practice location 19
705 N Meridian St
Greentown, IN 46936-1246
Phone (765) 628-3377
Other practice location 20
4915 Charlestown Rd
New Albany, IN 47150-9426
Phone (812) 945-5221
Other practice location 21
213 Industrial Dr
Greensburg, KY 42743-1166
Phone (270) 655-4738
Other names
- PHILADELPHIA NURSE PRACTITIONERS, LP
Other providers in Columbia, MD
- Progressive Staffing Incorporated
- Promise Acres Wellness Center
- Proscan Radiology, LLC
- Devyn Prosser
- Foula Protopapas
- Provider Partners Senior Care LP
- Leanne Pruitt
- Jhleah Kijhay Pryor
- Stephen Michael Przybylski
- Todd Michael Psenicska
All providers in Columbia, MD · Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.