Andrea R Phillips, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R127440 Issued in MD

Practice address

23140 Moakley St Ste 4
Leonardtown, MD 20650-2923

Phone

(301) 997-1029

Fax

(301) 997-1489

NPI assigned

Aug 22, 2006

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Baden Medical Service IncorporatedGroup PAC ID 4981632650, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Saint Mary's Hospital Hospital, Leonardtown, MD, CCN 210028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Brandywine, MD
  • NPI 1912927344

  DC, Family

  Medicare reassignment Care Compare group NPD
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lexington Park, MD
  • NPI 1487469243
  NPD
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Oxon Hill, MD
  • NPI 1083950521
  NPD (past)
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Leonardtown, MD
  • NPI 1922258367
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Marys Hospital of St Marys County Inc

  dba MedStar St. Mary's Hospital

  • General Acute Care Hospital
  • Leonardtown, MD
  • NPI 1780650473
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1093821977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 PENNSYLVANIA AVE",
            "address_2": "#160",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723659",
            "telephone_number": "301-888-2233",
            "fax_number": "301-888-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23140 MOAKLEY ST STE 4",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502923",
            "telephone_number": "301-997-1029",
            "fax_number": "301-997-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R127440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302302800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry
• Mark Donald Perry, MD
• Lauren Marie Perz, DO
• Sherryl Jessica Petersen Tomasino, PH.D.
• Casie Marie Phetteplace, DPT
• Michael Andrew Pipkin, PT, DPT
• Lisa Erin Polko, MD
• Mary Frances Pontorno, OT/R
• Pradeep Simlote MD PC
• Jai-Landa Pratt

• Family Nurse Practitioner in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.

Verify at the official NPI Registry.