Individual provider Active NPI

Casey Amanda McGinnis, DNP, CPNP

  • Pediatric Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1063950491
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AC004587 Issued in MD
Practice address
795 Aquahart Rd Ste 205
Glen Burnie, MD 21061-3953
Phone
(410) 590-8826
Fax
(410) 768-1949
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 AC004587 MD Primary

Addresses

Primary practice location

795 Aquahart Rd Ste 205
Glen Burnie, MD 21061-3953

Mailing address

795 Aquahart Rd Ste 205
Glen Burnie, MD 21061-3953
Phone (410) 590-8826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230109001888 MD Practitioner - Nurse Practitioner 9234509217 Reassigns benefits to 1 organization
I20230109002022 DC Practitioner - Nurse Practitioner 9234509217 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 20, 2022 Accepting new patients
Privia Care Center LLC CurrentSince Sep 20, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 20, 2022 Accepting new patients
Privia Care Center LLC CurrentSince Sep 20, 2022 Accepting new patients
Marta Markman MD & Assoc PA Past Accepting new patients
Carolina Child Neurology, PLLC Past Accepting new patients

Locations

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

Interoperability endpoints

  • Direct secure messaging: casey.mcginnis.1@8171.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8171/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1063950491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 AQUAHART RD STE 205",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613953",
            "telephone_number": "410-590-8826",
            "fax_number": "410-768-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 AQUAHART RD STE 205",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613953",
            "telephone_number": "410-590-8826",
            "fax_number": "410-768-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "CASEY",
        "middle_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "AC004587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.