Individual provider Active NPI

Lacy Twining Pitman, CRNP

  • Family Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1073598462
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R147334 Issued in MD
Practice address
110 Hospital Rd Ste 111
Prince Frederick, MD 20678-4039
Phone
(410) 535-4488
Fax
(443) 771-8114
NPI assigned
Dec 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R147334 MD Primary

Addresses

Primary practice location

110 Hospital Rd Ste 111
Prince Frederick, MD 20678-4039

Mailing address

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 535-4488

Other identifiers 1

IdentifierTypeStateIssuer
407239100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lacy.pitmancrnp.p1@direct.calverthealth.nextgenshare.com Health Information Exchange (HIE) CalvertHealth Medical Group, LLC

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
I20050127001111 MD Practitioner - Nurse Practitioner 0547210429

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
74.54
Promoting interoperability
99
Improvement activities
40
Cost
81.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Health Ventures Inc Past Accepting new patients
Calverthealth Medical Group, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lacy.pitman@directcalverthospital.org

Organizations & group practices 3

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1073598462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "410-535-4488",
            "fax_number": "443-771-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 111",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784039",
            "telephone_number": "410-535-4488",
            "fax_number": "443-771-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITMAN",
        "first_name": "LACY",
        "middle_name": "TWINING",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R147334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407239100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lacy.pitmancrnp.p1@direct.calverthealth.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address to send CCDAs",
            "affiliationName": "CalvertHealth Medical Group, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDAs",
            "address_1": "110 Hospital Rd Ste 111",
            "city": "Prince Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206784039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.