Active NPI
Lisa H Bayles, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Berlin, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- R060296
- Practice address
- 10231 Old Ocean City Blvd
Suite 210
Berlin, MD 21811-3568 - Phone
- (410) 629-6870
- Fax
- (410) 641-3140
- NPI assigned
- Oct 18, 2005
- Last updated
- Oct 10, 2011
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | R060296 | MD | Primary |
Addresses
Primary practice location
10231 Old Ocean City Blvd
Suite 210
Berlin, MD 21811-3568
Mailing address
10026 Old Ocean City Blvd
Building One
Berlin, MD 21811-1288
Phone (410) 641-9450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 552105000 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.2 of 100
- Quality
- 70.92
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R060296 | MD | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic General Hospital Corp | Current | Accepting new patients | |
| Tidalhealth Atlantic, Inc. | Current | Accepting new patients | |
| Atlantic General Hospital Corporation | Current | Accepting new patients | |
| Atlantic Immedicare LLC | Past | Accepting new patients |
Locations
10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811
10231 Old Ocean City Blvd
Ste 210
Berlin, MD 21811
Phone (410) 629-6870
9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600
6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041
Organizations & group practices 4
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.
-
dba Atlantic General Health System
- Family Medicine Physician
- Berlin, MD
- NPI 1871582171
-
dba Atlantic General Health Systems WOC Imaging Center
- Radiology Clinic/Center
- Ocean City, MD
- NPI 1043756232
-
dba AGHRx RediScripts Ocean Pines
- Community/Retail Pharmacy
- Berlin, MD
- NPI 1740963859
-
- General Practice Physician
- Ocean City, MD
- NPI 1518199223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1093704553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10026 OLD OCEAN CITY BLVD",
"address_2": "BUILDING ONE",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111288",
"telephone_number": "410-641-9450",
"fax_number": "410-641-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10231 OLD OCEAN CITY BLVD",
"address_2": "SUITE 210",
"city": "BERLIN",
"state": "MD",
"postal_code": "218113568",
"telephone_number": "410-629-6870",
"fax_number": "410-641-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLES",
"first_name": "LISA",
"middle_name": "H",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "MD",
"license": "R060296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "552105000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.