Active NPI
Chinelo Asike, CRNP
- Family Nurse Practitioner
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R200538
- Practice address
- 9055 Chevrolet Dr
#103
Ellicott City, MD 21042-4016 - Phone
- (410) 465-7850
- NPI assigned
- May 20, 2016
- Last updated
- Jun 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R200538 | MD | Primary |
Addresses
Primary practice location
9055 Chevrolet Dr
#103
Ellicott City, MD 21042-4016
Mailing address
9055 Chevrolet Dr
#103
Ellicott City, MD 21042-4016
Phone (410) 465-7850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 24.81 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 82.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R200538 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juniper Healthcare LLC | Current | Accepting new patients |
Locations
6116 Belair Rd
Baltimore, MD 21206
Phone (410) 426-1424
9055 Chevrolet Dr
Ste 103
Ellicott City, MD 21042
Phone (443) 355-6290
12021 Livingston Rd
Ft Washington, MD 20744
Phone (301) 292-0300
Organizations & group practices 1
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": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465084800000",
"number": "1073960852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9055 CHEVROLET DR",
"address_2": "#103",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210424016",
"telephone_number": "410-465-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9055 CHEVROLET DR",
"address_2": "#103",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210424016",
"telephone_number": "410-465-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASIKE",
"first_name": "CHINELO",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2016-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R200538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.