Anna Elizabeth Brown, AG-ACNP

Individual provider Active NPI Acute Care Nurse Practitioner · Baltimore, MD

NPI 1023639366 · NPPES record last updated Apr 28, 2020

Key facts

NPI
1023639366
Entity type
Individual (NPI type 1)
Primary specialty
Acute Care Nurse Practitioner 363LA2100X
License
R204677 (MD)
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(800) 492-5538
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shock Trauma Associates PA (258 clinicians)

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6704

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital · Baltimore, MD · CCN 210002

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200727000881 MD Practitioner - Nurse Practitioner 6608290440 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shock Trauma Associates, P.a. Single Specialty Current
since May 4, 2020
Accepting new patients

Locations

110 S Paca St
#38
Baltimore, MD 21201

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363LA2100X R204677 MD Yes

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

364 Kimwood Rd
Arnold, MD 21012-1929
Phone (703) 969-5794

Other providers in Baltimore, MD

All providers in Baltimore, MD · Acute Care Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.