Individual provider Active NPI

Tracy Elizabeth McFadden

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1033875414
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R211514 Issued in MD
Practice address
1101 E 33Rd St
Baltimore, MD 21218-3637
Phone
(443) 287-8500
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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 R211514 MD Primary

Addresses

Primary practice location

1101 E 33Rd St
Baltimore, MD 21218-3637

Mailing address

1914 Clifden Rd
Catonsville, MD 21228-4838
Phone (443) 928-9849

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
I20220319000163 MD Practitioner - Nurse Practitioner 0941695423 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R211514MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Place Specialists, Inc. CurrentSince Jan 4, 2022 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
St Paul Place Specialists Inc CurrentSince Jan 4, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 5, 2023 Accepting new patients
Maryland Family Care, Inc. CurrentSince Jan 4, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 5, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

305 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 553-8100

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Organizations & group practices 7

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1033875414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 CLIFDEN RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284838",
            "telephone_number": "443-928-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E 33RD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183637",
            "telephone_number": "443-287-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R211514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.