Active NPI
Devon Isaac, CRNP
- Adult Health Nurse Practitioner
- Abingdon, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R206848
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R206848 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Oncology Associates, PA | Current | Accepting new patients | |
| University of Maryland Oncology Associates, PA | Current | Accepting new patients | |
| Harford Primary Care LLC | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Baltimore, MD
- NPI 1679523575
MD
-
- Clinical Medical Laboratory
- Baltimore, MD
- NPI 1881226934
-
- Hematology & Oncology Physician
- Baltimore, MD
- NPI 1942154877
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
Hospital
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
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-1230
Hospital & facility affiliations
- University of Maryland Medical Center
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.