Individual provider Active NPI

Melissa D Hunter, DNP, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Elkton, MD
National Provider Identifier
1104570035
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R125834 Issued in MD
Practice address
107 N Bridge St
Elkton, MD 21921-5326
Phone
(410) 392-6408
Fax
(410) 392-6409
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R125834 MD Primary

Addresses

Primary practice location

107 N Bridge St
Elkton, MD 21921-5326

Mailing address

118 Arbor LN
Rising Sun, MD 21911-1420
Phone (410) 392-6408

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
I20220705000865 MD Practitioner - Nurse Practitioner 7810377116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kiumarce Kashi MD PCGroup PAC ID 6103984539, 4 clinicians

Practice addresses (Care Compare)

6830 Hospital Dr
Baltimore, MD 21237-4375
Phone (410) 686-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R125834MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiumarce Kashi MD PC CurrentSince Sep 14, 2024 Accepting new patients

Locations

3029 Dundalk Ave
Dundalk, MD 21222
Phone (410) 284-3322

6830 Hospital Dr
Ste 106
Rosedale, MD 21237
Phone (410) 682-3800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIEHAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIEHAA/Endpoint/BIEHAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1104570035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ARBOR LN",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219111420",
            "telephone_number": "410-392-6408",
            "fax_number": "410-392-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215326",
            "telephone_number": "410-392-6408",
            "fax_number": "410-392-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "MELISSA",
        "middle_name": "D",
        "credential": "DNP, CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R125834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.