Individual provider Active NPI

Lauren Kelly Rosales, CNM

  • Advanced Practice Midwife
  • Baltimore, MD
National Provider Identifier
1063188605
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R218553 Issued in MD
Practice address
1701 Barclay St
Baltimore, MD 21202-2919
Phone
(630) 809-6115
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R218553 MD Primary

Addresses

Primary practice location

1701 Barclay St
Baltimore, MD 21202-2919

Mailing address

1701 Barclay St
Baltimore, MD 21202-2919
Phone (630) 809-6115

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022000223 MD Practitioner - Certified Nurse Midwife (CNM) 1951799063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

713 Cambridge Marketplace Blvd
Suite 2 700
Cambridge, MD 21613-2563
Phone (410) 820-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.26 of 100Reported as group
Quality
81.56
Promoting interoperability
100
Improvement activities
40
Cost
69.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Maryland PC CurrentSince Oct 1, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 1, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Obhg Maryland PC CurrentSince Oct 1, 2022 Accepting new patients

Locations

713 Cambridge Marketplace Blvd
Ste 2700
Cambridge, MD 21613
Phone (410) 820-4888

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

219 S Washington St
Easton, MD 21601

522 Idlewild Ave
Easton, MD 21601
Phone (410) 820-4888

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

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

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.

Hospital & facility affiliations 3

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1063188605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BARCLAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022919",
            "telephone_number": "630-809-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BARCLAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022919",
            "telephone_number": "630-809-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "LAUREN",
        "middle_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R218553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.