Individual provider Active NPI

Mary Beth Brinsfield, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Easton, MD
National Provider Identifier
1164067476
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC005842 Issued in MD
Practice address
300 Talbot St
Easton, MD 21601-3525
Phone
(410) 822-1018
Fax
(410) 820-5884
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X R185002 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC005842 MD Primary

Addresses

Primary practice location

300 Talbot St
Easton, MD 21601-3525

Mailing address

300 Talbot St
Easton, MD 21601-3525
Phone (410) 822-1018

Other practice location 1

1411 Wesley Dr
Salisbury, MD 21801-7149
Phone (410) 642-4011

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
I20200108002962 MD Practitioner - Nurse Practitioner 1557796190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
For All Seasons, Inc.Group PAC ID 0244214187, 17 clinicians

Practice addresses (Care Compare)

300 Talbot St
Easton, MD 21601-3525
Phone (410) 822-1018

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC005842MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
For All Seasons, Inc CurrentSince Dec 1, 2019 Accepting new patients
Evolve Mental Wellness CurrentSince Sep 23, 2022 Accepting new patients
For All Seasons, Inc. Past Accepting new patients

Locations

208 Cedar St
Cambridge, MD 21613
Phone (410) 476-4441

300 Talbot St
Easton, MD 21601

1411 Wesley Dr
Salisbury, MD 21801
Phone (410) 642-4011

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1164067476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TALBOT ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013525",
            "telephone_number": "410-822-1018",
            "fax_number": "410-820-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TALBOT ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013525",
            "telephone_number": "410-822-1018",
            "fax_number": "410-820-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Wesley Dr",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218017149",
            "country_code": "US",
            "telephone_number": "410-642-4011",
            "fax_number": "410-630-1654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINSFIELD",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185002",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC005842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.