Individual provider Active NPI

Stephanie Anderson, CRNP

  • Nurse Practitioner
  • Abingdon, MD
National Provider Identifier
1013457050
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R201878 Issued in MD
Practice address
3122 Raking Leaf Dr
Abingdon, MD 21009-2651
Phone
(410) 980-7317
Fax
(443) 327-4859
NPI assigned
Feb 23, 2017
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R201878 MD
Nurse Practitioner 363L00000X R201878 MD Primary

Addresses

Primary practice location

3122 Raking Leaf Dr
Abingdon, MD 21009-2651

Mailing address

3122 Raking Leaf Dr
Abingdon, MD 21009-2651
Phone (410) 980-7317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20170602001562 MD Practitioner - Nurse Practitioner 6608143219 Reassigns benefits to 2 organizations
I20190627000620 DC Practitioner - Nurse Practitioner 6608143219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 130
Columbia, MD 21044-3258
Phone (410) 772-7000

7704 Matapeake Bus Dr
Suite 310
Brandywine, MD 20613-3043
Phone (301) 645-8838

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R201878MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 15, 2017 Accepting new patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Revive Institute of Sexual Health, LLC Adult Health Current Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Jan 11, 2021 Accepting new patients
Chesapeake Urology Associates, LLC CurrentSince Jan 11, 2021 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 15, 2017 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

7704 Matapeake Business Dr
Ste 310
Brandywine, MD 20613
Phone (301) 645-8838

10710 Charter Dr
Ste 130
Columbia, MD 21044
Phone (301) 725-8880

10710 Charter Dr
Ste 230
Columbia, MD 21044
Phone (410) 772-7000

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

Interoperability endpoints

  • Direct secure messaging: stephaniezwonitzer@tsicua.allscriptsdirect.net
  • Direct secure messaging: szwonitzer911124@direct.hopkinsmedicine.org

Organizations & group practices 9

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1013457050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 RAKING LEAF DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092651",
            "telephone_number": "410-980-7317",
            "fax_number": "443-327-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 RAKING LEAF DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092651",
            "telephone_number": "410-980-7317",
            "fax_number": "443-327-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R201878",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R201878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

Verify at the official NPI Registry.