Organization Active NPI

A1 in-Home Primary Care

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1114516176
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
A1 IN-HOME PRIMARY CARE
Practice address
1120 N Charles St Ste 109
Baltimore, MD 21201-5592
Phone
(443) 345-6009
Fax
(877) 720-3447
NPI assigned
Jan 14, 2021
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Carol Edwards, CRNP, FNP-CNPI 1013576560
Title
Owner
Phone
(443) 345-6009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1120 N Charles St Ste 109
Baltimore, MD 21201-5592

Mailing address

1120 N Charles St Ste 109
Baltimore, MD 21201-5592
Phone (443) 345-6009

Other identifiers 1

IdentifierTypeStateIssuer
598024100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210223000535 MD Part B Supplier - Clinic/Group Practice 9638584774 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2212398A1 in-Home Primary Care, LLC1120 N Charles St #109, Baltimore, MD 21201Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory

Locations

8480 Baltimore National Pike
Ste 3210153
Ellicott City, MD 21043

435 Eastern Blvd
Ste A
Essex, MD 21221
Phone (443) 345-6008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1114516176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015592",
            "telephone_number": "443-345-6009",
            "fax_number": "877-720-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015592",
            "telephone_number": "443-345-6009",
            "fax_number": "877-720-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 IN-HOME PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-345-6009",
        "authorized_official_credential": "CRNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598024100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.