Individual provider Active NPI

Madison McKenzie Schutz, CPNP-AC

  • Pediatric Nurse Practitioner
  • Forest Hill, MD
National Provider Identifier
1043049364
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R245264 Issued in MD
Practice address
1206 Turnbridge Rd
Forest Hill, MD 21050-2407
Phone
(443) 805-4859
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 R245264 MD Primary

Addresses

Primary practice location

1206 Turnbridge Rd
Forest Hill, MD 21050-2407

Mailing address

1206 Turnbridge Rd
Forest Hill, MD 21050-2407
Phone (443) 805-4859

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
I20241015000224 MD Practitioner - Nurse Practitioner 4981136090 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Oct 1, 2024 Accepting new patients
Johns Hopkins University CurrentSince Oct 1, 2024 Accepting new patients
Johns Hopkins University Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

200 N Wolfe St
Baltimore, MD 21287
Phone (410) 614-3917

4940 Eastern Ave
Baltimore, MD 21224

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: mschutz581796@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1043049364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 TURNBRIDGE RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502407",
            "telephone_number": "443-805-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 TURNBRIDGE RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502407",
            "telephone_number": "443-805-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZ",
        "first_name": "MADISON",
        "middle_name": "MCKENZIE",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R245264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

Verify at the official NPI Registry.