NPIMap

Individual provider Active NPI

Nicole Bachmann

  • Family Nurse Practitioner
  • Woodbine, MD
National Provider Identifier
1114357993
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R177026 Issued in MD
Practice address
760 Chessie Crossing Way
Woodbine, MD 21797-8768
Phone
(410) 255-0102
Fax
(410) 255-0103
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 R177026 MD Primary

Addresses

Primary practice location

760 Chessie Crossing Way
Woodbine, MD 21797-8768

Mailing address

760 Chessie Crossing Way
Woodbine, MD 21797-8768
Phone (410) 255-0102

Other practice location 1

8015 Apple Valley Dr
Pasadena, MD 21122-4174
Phone (410) 255-0102

Other practice location 2

8290 Ocean Gtwy
Easton, MD 21601-7146
Phone (410) 763-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140416001277 DC Practitioner - Nurse Practitioner 5092947507 Reassigns benefits to 3 organizations
I20140416001490 MD Practitioner - Nurse Practitioner 5092947507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Onsite Medical House CallsGroup PAC ID 5395009054, 2 clinicians

Practice addresses (Care Compare)

Woodbine, MD 21797

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108
  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Hospice of the Chesapeake, Inc. Hospice, Pasadena, MD, CCN 211509

Merit-based Incentive Payment System (MIPS)

Final score
75.3 of 100Reported as individual
Quality
74.94
Promoting interoperability
63
Improvement activities
40
Cost
56.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R177026MDMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: nicole.bachmann.1@17833.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1114357993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 CHESSIE CROSSING WAY",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978768",
            "telephone_number": "410-255-0102",
            "fax_number": "410-255-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CHESSIE CROSSING WAY",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978768",
            "telephone_number": "410-255-0102",
            "fax_number": "410-255-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8015 Apple Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211224174",
            "country_code": "US",
            "telephone_number": "410-255-0102",
            "fax_number": "410-255-0103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8290 Ocean Gtwy",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216017146",
            "country_code": "US",
            "telephone_number": "410-763-6501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHMANN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R177026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbine, MD

Sources for this page

Verify at the official NPI Registry.