Individual provider Active NPI

Marissa Ashley Perkins, CRNP

  • Adult Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1154046738
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R230832 Issued in MD
Practice address
8894 Stanford Blvd
Columbia, MD 21045-4794
Phone
(410) 997-7246
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 R230832 MD Primary

Addresses

Primary practice location

8894 Stanford Blvd
Columbia, MD 21045-4794

Mailing address

8894 Stanford Blvd Ste 104
Columbia, MD 21045-5161
Phone (410) 997-7226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230203000171 DC Practitioner - Nurse Practitioner 7012389992 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R230832MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Medicine PA CurrentSince Dec 5, 2022 Accepting new patients
BB'S Allcare LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10750 Columbia Pike
Ste 320
Silver Spring, MD 20901
Phone (301) 593-9800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24733/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1154046738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8894 STANFORD BLVD STE 104",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455161",
            "telephone_number": "410-997-7226",
            "fax_number": "410-997-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8894 STANFORD BLVD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454794",
            "telephone_number": "410-997-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "MARISSA",
        "middle_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R230832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.