Individual provider Active NPI

Marjorie Simpson, PHD, CRNP

  • Gerontology Nurse Practitioner
  • Westminster, MD
National Provider Identifier
1083686448
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R108131 Issued in MD
Practice address
PO Box 973
Westminster, MD 21158-0973
Phone
(410) 218-4786
Fax
(410) 795-0029
NPI assigned
Feb 1, 2006
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R108131 MD Primary

Addresses

Primary practice location

PO Box 973
Westminster, MD 21158-0973

Mailing address

684 Poole Rd Ste a
Westminster, MD 21157-6173
Phone (667) 367-2260

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
I20090209000287 MD Practitioner - Nurse Practitioner 3173688132 Reassigns benefits to 3 organizations
Practice locations: Ellicott City, MD; Sykesville, MD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridginglife, Inc.Group PAC ID 4880797943, 11 clinicians

Practice addresses (Care Compare)

200 Memorial Ave
Payor Credentialing
Westminster, MD 21157-5726

292 Stoner Ave
Westminster, MD 21157-5629
Phone (410) 871-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Bridginglife, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Carroll Health Group, LLC CurrentSince Feb 23, 2019 Accepting new patients
Bridginglife, Inc. Current Accepting new patients
Expanding Medicine, LLC CurrentSince Jul 1, 2018 Accepting new patients
Bridginglife, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Roland Park Place Health Care Corporation Past Accepting new patients

Locations

6012 Jefferson Blvd
Frederick, MD 21703
Phone (301) 371-7160

1442 Buckhorn Rd
Sykesville, MD 21784
Phone (410) 795-2737

7309 2nd Ave
Sykesville, MD 21784
Phone (301) 785-8316

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

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

292 Stoner Ave
Westminster, MD 21157
Phone (443) 244-6480

684 Poole Rd
Ste A
Westminster, MD 21157
Phone (410) 554-6890

Organizations & group practices 7

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 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1083686448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 POOLE RD STE A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576173",
            "telephone_number": "667-367-2260",
            "fax_number": "667-367-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 973",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211580973",
            "telephone_number": "410-218-4786",
            "fax_number": "410-795-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "MARJORIE",
        "name_prefix": "Dr.",
        "credential": "PHD, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R108131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.