Active NPI
Sridevi Praveen, CRNP
- Acute Care Nurse Practitioner
- Elkridge, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R172477
- Practice address
- 6439 Sedgwick St
Elkridge, MD 21075-6198 - Phone
- (301) 275-1743
- NPI assigned
- Apr 19, 2016
- Last updated
- Jun 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R172477 | MD | Primary |
Addresses
Primary practice location
6439 Sedgwick St
Elkridge, MD 21075-6198
Mailing address
920 Elkridge Landing Rd
Linthicum, MD 21090-2917
Phone (443) 462-5010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- 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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10816 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone (410) 997-7677
1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000
6510 Kenilworth Ave
Suite 2500
Riverdale, MD 20737-1346
Phone (410) 997-7677
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (330) 493-4443
8200 Good Luck Rd
Lanham, MD 20706-3511
Phone (330) 493-4443
901 Harry S Truman Dr
Largo, MD 20774-5477
Phone (240) 677-1000
Hospital & facility affiliations
- University of MD Capital Region Medical Center
- Umd Upper Chesapeake Medical Center
- Luminis Health Doctors Community Medical Ctr, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.56 of 100
- Quality
- 75.84
- Improvement activities
- 40
- Cost
- 70.88
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Adfinitas Health at Upper Chesapeake, LLC | Current | Accepting new patients | |
| Adfinitas Health at Umcap, LLC | Current | Accepting new patients | |
| Adfinitas Health at Upper Chesapeake Aberdeen LLC | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Dimensions Health Corporation | Past | Accepting new patients |
Locations
660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Interoperability endpoints
- spraveen152916@direct.umm.edu
- spraveen164586@direct.aahs.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.
-
dba Adfinitas Health, LLC
- Hospitalist Physician
- Largo, MD
- NPI 1205585940
DC
-
- Hospitalist Physician
- Bel Air, MD
- NPI 1164134037
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, MD
-
dba Infectious Disease Care Center
- Infectious Disease Physician
- Columbia, MD
- NPI 1699728089
DC
-
- Hospitalist Physician
- Aberdeen, MD
- NPI 1346941010
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
dba University of Maryland Bowie Health Center
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Bowie Health Center
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
dba Doctors Community Hospital
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
-
dba UM Upper Chesapeake Medical Center at Aberdeen
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1023462702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 ELKRIDGE LANDING RD",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902917",
"telephone_number": "443-462-5010",
"fax_number": "410-684-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6439 SEDGWICK ST",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756198",
"telephone_number": "301-275-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAVEEN",
"first_name": "SRIDEVI",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R172477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.