Individual provider Active NPI

Devon Isaac, CRNP

  • Adult Health Nurse Practitioner
  • Abingdon, MD
National Provider Identifier
1124806963
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R206848 Issued in MD
Practice address
3401 Box Hill Corporate Center Dr Ste 100
Abingdon, MD 21009-1251
Phone
(410) 671-0017
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R206848 MD Primary

Addresses

Primary practice location

3401 Box Hill Corporate Center Dr Ste 100
Abingdon, MD 21009-1251

Mailing address

3401 Box Hill Corporate Center Dr Ste 100
Abingdon, MD 21009-1251
Phone (410) 671-0017

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
I20231129003882 MD Practitioner - Nurse Practitioner 9335597400 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R206848MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Oncology Associates, PA CurrentSince Apr 15, 2024 Accepting new patients
University of Maryland Oncology Associates, PA CurrentSince Apr 15, 2024 Accepting new patients
Harford Primary Care LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

3401 Box Hill Corporate Center Dr
Ste 100
Abingdon, MD 21009
Phone (410) 671-0017

3401 Box Hill Corporate Center Dr
Abingdon, MD 21009
Phone (410) 652-4598

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2 North Ave
Ste 101
Bel Air, MD 21014
Phone (410) 296-1661

Interoperability endpoints

  • Direct secure messaging: dwright290687@direct.umm.edu

Organizations & group practices 4

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Oncology Associates PA 61 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-1230

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1124806963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 BOX HILL CORPORATE CENTER DR STE 100",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091251",
            "telephone_number": "410-671-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BOX HILL CORPORATE CENTER DR STE 100",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091251",
            "telephone_number": "410-671-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "DEVON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R206848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

Verify at the official NPI Registry.