Individual provider Active NPI

Carrie Ann Moritz Clancy, AU.D.

  • Audiologist
  • Crofton, MD
National Provider Identifier
1023757184
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01636 Issued in MD
Practice address
2709 Maynard Rd
Crofton, MD 21114-3122
Phone
(850) 902-6830
NPI assigned
May 27, 2022
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA13831 AZ
Audiologist 231H00000X 01636 MD Primary
Audiologist-Hearing Aid Fitter 237600000X DA13831 AZ
Audiologist-Hearing Aid Fitter 237600000X 01636 MD

Addresses

Primary practice location

2709 Maynard Rd
Crofton, MD 21114-3122

Mailing address

2709 Maynard Rd
Crofton, MD 21114-3122
Phone (850) 902-6830

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231010004093 DC Practitioner - Qualified Audiologist 5294114484 Reassigns benefits to 2 organizations
I20250603002207 MD Practitioner - Qualified Audiologist 5294114484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Arizona College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10285 Little Patuxent Pkwy
Suite 200
Columbia, MD 21044-3489
Phone (410) 760-8840

10710 Charter Dr
Suite 400
Columbia, MD 21044-3276
Phone (410) 997-7979

1132 Annapolis Rd
Odenton, MD 21113-1672
Phone (410) 760-8840

130 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4029
Phone (410) 535-6975

1300 York Rd
Suite 30D
Lutherville, MD 21093-6090
Phone (443) 275-1337

802 Landmark Dr
Suite 119
Glen Burnie, MD 21061-9121
Phone (410) 760-8840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis ENT Surgical Center LLC CurrentSince Jul 14, 2025 Accepting new patients
Johns Hopkins Regional Physicians LLC Audiologist CurrentSince Aug 1, 2025 Accepting new patients
Johns Hopkins Regional Physicians LLC Current Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Aug 1, 2025 Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Aug 1, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Sep 25, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Sep 25, 2023 Accepting new patients
Annapolis ENT Surgical Center, LLC Past Accepting new patients

Locations

2002 Medical Pkwy
Ste 230
Annapolis, MD 21401
Phone (410) 226-3900

14201 Laurel Park Dr
Ste 115
Laurel, MD 20707
Phone (301) 490-8083

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

130 Hospital Rd
Ste 101
Prnc Frederck, MD 20678
Phone (410) 535-2500

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

Interoperability endpoints

  • Direct secure messaging: cclancy1403841@direct.hopkinsmedicine.org

Organizations & group practices 8

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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1023757184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 MAYNARD RD",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211143122",
            "telephone_number": "850-902-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 MAYNARD RD",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211143122",
            "telephone_number": "850-902-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "CARRIE ANN",
        "middle_name": "MORITZ",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA13831",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01636",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA13831",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "01636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7821 E Calle del Minique",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857507057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.