Individual provider Active NPI

Christina Maria Scuderi, CRNP

  • Family Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1023670841
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R206268 Issued in MD
Practice address
13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone
(240) 313-9890
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R206268 MD Primary

Addresses

Primary practice location

13620 Crayton Blvd
Hagerstown, MD 21742-2335

Mailing address

121 Burton Way
Boonsboro, MD 21713-2075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190801000010 MD Practitioner - Nurse Practitioner 4789910571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Practices of Antietam, LLCGroup PAC ID 2567353865, 229 clinicians

Practice addresses (Care Compare)

13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (240) 313-9890

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Urgent Care LLC CurrentSince Jul 3, 2019 Accepting new patients
Meritus Urgent Care, LLC CurrentSince Jul 3, 2019 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jul 3, 2019 Accepting new patients
Medical Practices of Antietam, LLC CurrentSince Jul 3, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1023670841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BURTON WAY",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217132075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 CRAYTON BLVD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422335",
            "telephone_number": "240-313-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUDERI",
        "first_name": "CHRISTINA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R206268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.