Individual provider Active NPI

Kristen Milio Nelms, CRNP

  • Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1124015300
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R152210 Issued in MD
Practice address
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone
(410) 553-8300
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R152210 MD Primary

Addresses

Primary practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Mailing address

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 553-8300

Other identifiers 4

IdentifierTypeStateIssuer
F591-0025OtherDCCARE FIRST DC
6784OtherBRAVO HEALTH
643255-02OtherMDCARE FIRST MARYLAND RENDERING NUMBER
406267100MedicaidMD

Other names 1

  • Kristen Milio Columbia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20041228000057 MD Practitioner - Nurse Practitioner 9032177852 Reassigns benefits to 2 organizations
I20230119001743 DC Practitioner - Nurse Practitioner 9032177852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Medical Specialists IncGroup PAC ID 2163820507, 10 clinicians

Practice addresses (Care Compare)

133 Rollins Ave
Suite 3
Rockville, MD 20852-4040
Phone (800) 557-8950

145 W Ostend St
Suite 600
Baltimore, MD 21230-3774
Phone (800) 557-8950

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical Specialists Inc CurrentSince Oct 1, 2022 Accepting new patients
Baltimore Washington Medical Center Inc. Current Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Nov 5, 2007 Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Nov 5, 2007 Accepting new patients
Baltimore Washington Professional Services Inc. Past Accepting new patients
Scholar Medical Group MD LLC Past Accepting new patients

Locations

145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509

1800 N Charles St
Ste 208
Baltimore, MD 21201
Phone (410) 234-2727

219 S Washington St
Easton, MD 21601

300 Hospital Dr
Ste 132
Glen Burnie, MD 21061
Phone (410) 255-1600

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

300 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4940

133 Rollins Ave
Ste 3
Rockville, MD 20852
Phone (202) 935-1033

Organizations & group practices 6

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1124015300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-553-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-553-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELMS",
        "first_name": "KRISTEN",
        "middle_name": "MILIO",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R152210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST DC",
            "identifier": "F591-0025",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO HEALTH",
            "identifier": "6784",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST MARYLAND RENDERING NUMBER",
            "identifier": "643255-02",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406267100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "COLUMBIA",
            "middle_name": "MILIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.