Individual provider Active NPI

Tracy Lynn Crose-Hamm, CRNP

  • Adult Health Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1023555281
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R223544 Issued in MD
Practice address
730 Baltimore Pike
Bel Air, MD 21014-4244
Phone
(410) 887-8077
NPI assigned
Jan 26, 2017
Last updated
Jan 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R223544 MD Primary

Addresses

Primary practice location

730 Baltimore Pike
Bel Air, MD 21014-4244

Mailing address

730 Baltimore Pike
Bel Air, MD 21014-4244
Phone (410) 887-8077

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
I20170810002473 MD Practitioner - Nurse Practitioner 0648541508 Reassigns benefits to 3 organizations
I20240219001419 DC Practitioner - Nurse Practitioner 0648541508 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Medical Associates, LLC CurrentSince Feb 17, 2025 Accepting new patients
Apex Healthcare, LLC CurrentSince Nov 27, 2023 Accepting new patients
Apex Healthcare, LLC CurrentSince Nov 27, 2023 Accepting new patients
Msi Bel Air, LLC CurrentSince Jan 23, 2018 Accepting new patients

Locations

1131 Bel Air Rd
Ste 202
Bel Air, MD 21014
Phone (410) 877-8077

730 Baltimore Pike
Bel Air, MD 21014
Phone (410) 877-1651

4801 Dorsey Hall Dr
#G
Ellicott City, MD 21042
Phone (443) 393-3788

4801 Dorsey Hall Dr
Ste 201
Ellicott City, MD 21042
Phone (410) 997-5191

7640 Belair Rd
Nottingham, MD 21236
Phone (410) 727-1211

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

7801 York Rd
Ste 240
Towson, MD 21204
Phone (410) 323-9214

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1023555281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BALTIMORE PIKE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144244",
            "telephone_number": "410-887-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BALTIMORE PIKE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144244",
            "telephone_number": "410-887-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSE-HAMM",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R223544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.