Individual provider Active NPI

Stefanie Lynn Defiglia, CRNP

  • Family Nurse Practitioner
  • Elkridge, MD
National Provider Identifier
1083779920
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R162359 Issued in MD
Practice address
6095 Marshalee Dr
Suite 100
Elkridge, MD 21075-6053
Phone
(410) 379-3532
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R162359 MD Primary
Family Nurse Practitioner 363LF0000X LG0000577 DE
Family Nurse Practitioner 363LF0000X RN1007121 DC

Addresses

Primary practice location

6095 Marshalee Dr
Suite 100
Elkridge, MD 21075-6053

Mailing address

29466 Pintail Dr Ste 8
Easton, MD 21601-9324
Phone (443) 496-3050

Other identifiers 2

IdentifierTypeStateIssuer
24086OtherDCCHARTERED HEALTH PLAN
5411OtherDCHEALTH RIGHT, INC.

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
I20230930000220 MD Order and Referring Only - Nurse Practitioner 9032206545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1007121DCMDFamily Nurse Practitioner
LG0000577DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Two Tree Health Associates , LLC Current Accepting new patients

Locations

29466 Pintail Dr
Ste 8
Easton, MD 21601
Phone (443) 496-3050

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1083779920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29466 PINTAIL DR STE 8",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216019324",
            "telephone_number": "443-496-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 MARSHALEE DR",
            "address_2": "SUITE 100",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756053",
            "telephone_number": "410-379-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFIGLIA",
        "first_name": "STEFANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R162359",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1007121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARTERED HEALTH PLAN",
            "identifier": "24086",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH RIGHT, INC.",
            "identifier": "5411",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.