Individual provider Active NPI

Mary Krawczewicz, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1063955227
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R232061 Issued in MD
Practice address
900 Caton Ave # 081
Baltimore, MD 21229
Phone
(443) 703-3200
Fax
(443) 703-3201
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 40402112 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R232061 MD Primary

Addresses

Primary practice location

900 Caton Ave # 081
Baltimore, MD 21229

Mailing address

3501 Sinclair LN
Baltimore, MD 21213-2029
Phone (410) 732-8800

Other practice location 1

2384 Atlantic avenue
Room 401
Brooklyn, NY 11233
Phone (646) 265-3238

Other practice location 2

2384 Atlantic avenue
Room 401
Brooklyn, NY 11233
Phone (646) 265-3238

Other names 1

  • Mary Doyle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190306001333 MD Practitioner - Nurse Practitioner 0648519843 Reassigns benefits to 1 organization
I20190426000979 DC Practitioner - Nurse Practitioner 0648519843 Reassigns benefits to 1 organization
I20201218001342 NY Practitioner - Nurse Practitioner 0648519843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lotus PsychotherapyGroup PAC ID 5991170581, 12 clinicians

Practice addresses (Care Compare)

588 Bellerive Rd
Suite 1D
Annapolis, MD 21409-4639
Phone (410) 713-5277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R232061MDMDPsychiatric/Mental Health Nurse Practitioner
40402112NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie of Maryland LLC CurrentSince Feb 1, 2023 Accepting new patients
St Regis Mohawk Tribe CurrentSince Feb 13, 2023 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Sep 15, 2020 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Psychiatric/Mental Health CurrentSince Sep 15, 2020 Accepting new patients
Wisconsin Ave Psychiatric Center Inc Psychiatric/Mental Health CurrentSince Mar 17, 2019 Accepting new patients
Mary Krawczewicz Psychiatric/Mental Health Current Accepting new patients
Lotus Psychotherapy CurrentSince Jan 26, 2026 Accepting new patients
Anchor Mental Health Association Past Accepting new patients

Locations

4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600

900 Bestgate Rd
Ste 210
Annapolis, MD 21401
Phone (410) 267-3706

588 Bellerive Dr
Ste 1D
Annapolis, MD 21409
Phone (410) 310-2118

107 Ridgely Ave
Ste 13B
Annapolis, MD 21401
Phone (410) 268-8188

2488 Grand Concourse
Bronx, NY 10458
Phone (212) 695-5122

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

404 State Route 37
Hogansburg, NY 13655
Phone (518) 358-3141

412 State Route 37
Hogansburg, NY 13655
Phone (518) 358-3141

Interoperability endpoints

  • Direct secure messaging: mkrawczewicz@hiemail.healtheconnections.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1063955227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SINCLAIR LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132029",
            "telephone_number": "410-732-8800",
            "fax_number": "443-703-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE # 081",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "443-703-3200",
            "fax_number": "443-703-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2384 Atlantic avenue",
            "address_2": "Room 401",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11233",
            "country_code": "US",
            "telephone_number": "646-265-3238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2384 Atlantic avenue",
            "address_2": "Room 401",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11233",
            "country_code": "US",
            "telephone_number": "646-265-3238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAWCZEWICZ",
        "first_name": "MARY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40402112",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R232061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DOYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.