Individual provider Active NPI

Katherine Susan Dennis, FNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1053918847
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001232312 Issued in VA
Practice address
1322 Belmont Ave Ste 201
Salisbury, MD 21804-4593
Phone
(410) 749-6833
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0001232312 VA
Family Nurse Practitioner 363LF0000X 0001232312 VA Primary

Addresses

Primary practice location

1322 Belmont Ave Ste 201
Salisbury, MD 21804-4593

Mailing address

6470 Holly Dr
Chincoteague, VA 23336-3813
Phone (757) 710-3574

Other practice location 1

500 Market St Ste 102
Pocomoke City, MD 21851-1171
Phone (410) 749-6833

Other identifiers 1

IdentifierTypeStateIssuer
AC003371OtherMDNP LICENSURE

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
I20201120001877 MD Practitioner - Nurse Practitioner 1254742356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Atlantic Primary CareGroup PAC ID 7113267261, 4 clinicians

Practice addresses (Care Compare)

1322 Belmont Ave
Suite 201
Salisbury, MD 21804-4593
Phone (410) 749-6833

Hospital & facility affiliations

  • Tidalhealth Home Care Home health agency, Salisbury, MD, CCN 217079
  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Enhabit Home Health Home health agency, Salisbury, MD, CCN 217157
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001232312VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Primary Care CurrentSince Nov 9, 2020 Accepting new patients
Mid Atlantic Primary Care Family PastSince Dec 21, 2025 Accepting new patients

Locations

500 Market St
Ste 102
Pocomoke City, MD 21851
Phone (410) 749-6833

500 Market St
Ste 201
Pocomoke City, MD 21851

1322 Belmont Ave
Ste 201
Salisbury, MD 21804
Phone (410) 749-6833

Interoperability endpoints

  • Direct secure messaging: katherine.dennis.1@19271.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19271/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1053918847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 HOLLY DR",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233363813",
            "telephone_number": "757-710-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 BELMONT AVE STE 201",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044593",
            "telephone_number": "410-749-6833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Market St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pocomoke City",
            "state": "MD",
            "postal_code": "218511171",
            "country_code": "US",
            "telephone_number": "410-749-6833",
            "fax_number": "410-749-5139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "KATHERINE",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0001232312",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001232312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSURE",
            "identifier": "AC003371",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.