Individual provider Active NPI

Sarah Renee Bennett, CRNP

  • Pediatric Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1033507116
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R186722 Issued in MD
Practice address
5400 Preakness Way
Baltimore, MD 21215-5880
Phone
(410) 469-4680
NPI assigned
Dec 25, 2014
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R186722 MD Primary

Addresses

Primary practice location

5400 Preakness Way
Baltimore, MD 21215-5880

Mailing address

5400 Preakness Way
Baltimore, MD 21215-5880
Phone (410) 469-4680

Other names 1

  • Sarah Rangelov Former name

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
I20190916001400 MD Practitioner - Nurse Practitioner 5698004760 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R186722MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 17, 2019 Accepting new patients
Sinai Hospital of Baltimore, Inc CurrentSince Jul 17, 2019 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Sep 8, 2025 Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients

Locations

5400 Preakness Way
Baltimore, MD 21215
Phone (410) 396-6147

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": "1419465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1033507116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 PREAKNESS WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155880",
            "telephone_number": "410-469-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 PREAKNESS WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155880",
            "telephone_number": "410-469-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SARAH",
        "middle_name": "RENEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-25",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R186722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "RANGELOV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.