Individual provider Active NPI

Mary E Spare, NP-C

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1154874220
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R099071 Issued in MD
Practice address
2114 Generals Hwy
Annapolis, MD 21401-7488
Phone
(888) 808-6483
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173630 VA
Family Nurse Practitioner 363LF0000X R099071 MD Primary

Addresses

Primary practice location

2114 Generals Hwy
Annapolis, MD 21401-7488

Mailing address

2209 Defense Hwy
Crofton, MD 21114-2403
Phone (443) 332-4260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160906000660 DC Practitioner - Nurse Practitioner 4486940236 Reassigns benefits to 4 organizations
I20160908001605 VA Practitioner - Nurse Practitioner 4486940236 Reassigns benefits to 2 organizations
I20200226001164 MD Practitioner - Nurse Practitioner 4486940236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173630VAMDNurse Practitioner
R099071MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Sep 19, 2016 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Sep 19, 2016 Accepting new patients
Inova Physician Partners, LLC CurrentSince Sep 19, 2016 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Sep 19, 2016 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

500 Charles St
La Plata, MD 20646
Phone (301) 609-4699

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

21785 Filigree Ct
Ashburn, VA 20147
Phone (703) 554-1100

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

8110 Gatehouse Rd
Ste 300W
Falls Church, VA 22042
Phone (703) 205-2214

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Organizations & group practices 11

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1154874220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 DEFENSE HWY",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142403",
            "telephone_number": "443-332-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 GENERALS HWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017488",
            "telephone_number": "888-808-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARE",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173630",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R099071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.