Organization Active NPI

Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1013348028
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 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
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Keith Douglas Persinger
Title
Chief Operating Office
Phone
(410) 456-3946

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary
Family Medicine Physician 207Q00000X

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 1

  • PHILADELPHIA NURSE PRACTITIONERS, LP Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled 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, DC29 enrollments

Enrollment records 29

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

705 N Meridian St
Greentown, IN 46936
Phone (765) 628-3377

785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014

1320 N Hamilton St
Ste 10
High Point, NC 27262
Phone (336) 905-7174

13225 Westwood Ln
Omaha, NE 68144
Phone (402) 682-4800

170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540

6212 Walnut St
Philadelphia, PA 19139
Phone (215) 476-6264

1920 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 325-2098

Practitioners & affiliated clinicians

Practitioners 728

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 728

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1013348028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 COLUMBIA 100 PKWY STE 430",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452175",
            "telephone_number": "410-967-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 COLUMBIA 100 PKWY STE 430",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452175",
            "telephone_number": "443-275-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1379 Van Voorhis Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053415",
            "country_code": "US",
            "telephone_number": "304-599-9480",
            "fax_number": "304-595-1773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Old Soldiers Ln",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406016159",
            "country_code": "US",
            "telephone_number": "502-875-7272",
            "fax_number": "502-410-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6125 N Main St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454153110",
            "country_code": "US",
            "telephone_number": "937-278-8211",
            "fax_number": "937-278-8046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "328 W Vine St",
            "address_purpose": "LOCATION",
            "city": "Edgerton",
            "state": "OH",
            "postal_code": "435179600",
            "country_code": "US",
            "telephone_number": "419-298-2321",
            "fax_number": "567-529-4024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9685 Chillicothe Rd",
            "address_purpose": "LOCATION",
            "city": "Kirtland",
            "state": "OH",
            "postal_code": "440948503",
            "country_code": "US",
            "telephone_number": "440-256-8100",
            "fax_number": "440-261-4380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 Millville Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450133961",
            "country_code": "US",
            "telephone_number": "513-867-4100",
            "fax_number": "513-773-3068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2159 Dogwood Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wheelersburg",
            "state": "OH",
            "postal_code": "456949044",
            "country_code": "US",
            "telephone_number": "740-574-2558",
            "fax_number": "740-574-5426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Melrose Dr",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "WV",
            "postal_code": "25086",
            "country_code": "US",
            "telephone_number": "304-595-1155",
            "fax_number": "304-595-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Mayfield Dr",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371673019",
            "country_code": "US",
            "telephone_number": "615-355-0350",
            "fax_number": "615-355-5549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 MacCorkle Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "WV",
            "postal_code": "251772326",
            "country_code": "US",
            "telephone_number": "304-768-0002",
            "fax_number": "304-768-5093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "537 Spring St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "TN",
            "postal_code": "370583232",
            "country_code": "US",
            "telephone_number": "931-232-6902",
            "fax_number": "931-232-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Buchanan Rd",
            "address_purpose": "LOCATION",
            "city": "New Tazewell",
            "state": "TN",
            "postal_code": "378257410",
            "country_code": "US",
            "telephone_number": "423-626-8215",
            "fax_number": "423-626-0676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 Mount Holly Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402062125",
            "country_code": "US",
            "telephone_number": "502-897-1646",
            "fax_number": "502-410-0374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "785 Elkridge Landing Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Linthicum",
            "state": "MD",
            "postal_code": "210902958",
            "country_code": "US",
            "telephone_number": "410-967-2097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Eastham St",
            "address_purpose": "LOCATION",
            "city": "Vanceburg",
            "state": "KY",
            "postal_code": "411795462",
            "country_code": "US",
            "telephone_number": "606-796-3046",
            "fax_number": "606-653-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Harmon Hts",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "KY",
            "postal_code": "404841111",
            "country_code": "US",
            "telephone_number": "606-365-2141",
            "fax_number": "606-879-0034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Lyndon Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402224317",
            "country_code": "US",
            "telephone_number": "502-425-0331",
            "fax_number": "502-410-0630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 N Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "IN",
            "postal_code": "472403405",
            "country_code": "US",
            "telephone_number": "812-662-7778",
            "fax_number": "812-663-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Greentown",
            "state": "IN",
            "postal_code": "469361246",
            "country_code": "US",
            "telephone_number": "765-628-3377",
            "fax_number": "765-628-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4915 Charlestown Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471509426",
            "country_code": "US",
            "telephone_number": "812-945-5221",
            "fax_number": "812-945-2614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "KY",
            "postal_code": "427431166",
            "country_code": "US",
            "telephone_number": "270-655-4738",
            "fax_number": "270-655-4738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVIDER PARTNERS CARE MANAGEMENT LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "PERSINGER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICE",
        "authorized_official_telephone_number": "410-456-3946"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILADELPHIA NURSE PRACTITIONERS, LP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.