NPIMap

Organization Active NPI

Onsite Medical Palliative Care LLC

  • Nurse Practitioner
  • Woodbine, MD
National Provider Identifier
1124695143
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ONSITE MEDICAL PALLIATIVE CARE LLC
Practice address
760 Chessie Crossing Way
Woodbine, MD 21797-8768
Phone
(410) 255-0102
NPI assigned
Jun 8, 2021
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ONSITE MEDICAL HOUSE CALLSAs reported in NPPES

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

Authorized official

Name
Nicole BachmannNPI 1114357993
Title
Owner
Phone
(443) 694-5555

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary
In Home Supportive Care Agency 253Z00000X

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Woodbine Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220211000420 MD Part B Supplier - Clinic/Group Practice 4082007281 Receives reassigned benefits from 11 practitioners
Practice locations: Woodbine, MD
O20250204000052 DC Part B Supplier - Clinic/Group Practice 4082007281 Receives reassigned benefits from 5 practitioners
Practice locations: Woodbine, MD

National Provider Directory

National Provider Directory
Part of
Onsite Medical House Calls

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17833/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1124695143",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE MEDICAL PALLIATIVE CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONSITE MEDICAL HOUSE CALLS",
        "enumeration_date": "2021-06-08",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "BACHMANN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-694-5555"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Woodbine",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "760 Chessie Crossing Way",
            "city": "Woodbine",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217978768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.