Dora Carew John-Betts, CRNP-FAMILY
Individual provider Active NPI Family Nurse Practitioner · Lavale, MD
NPI 1174022396 · NPPES record last updated Nov 9, 2018
Key facts
- NPI
- 1174022396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R180311 (MD)
- Practice address
- 957 National Hwy
Lavale, MD 21502-7356 - Phone
- (240) 362-7128
- Fax
- (240) 362-7129
- NPI assigned
- Feb 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Luminis Health Medical Group, LLC
Practice addresses (Care Compare)
2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000
2003 Medical Pkwy
Annapolis, MD 21401-3081
2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286
Hospital & facility affiliations
- Luminis Health Anne Arundel Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180918000182 | MD | Practitioner - Nurse Practitioner | 9537410402 | Reassigns benefits to 2 organizations |
| I20210203002133 | DC | Practitioner - Nurse Practitioner | 9537410402 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients |
Locations
2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
1630 Main St
Ste 101
Chester, MD 21619
Phone (410) 604-6560
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
Interoperability endpoints
- djohnbetts119358@direct.aahs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R180311 | MD | Yes |
Addresses
Primary practice location
957 National Hwy
Lavale, MD 21502-7356
Mailing address
957 National Hwy
Lavale, MD 21502-7356
Phone (301) 729-9475
Other providers in Lavale, MD
- Michael Carter Harpold
- Sarah Faye Hart
- Mary Elizabeth Henderson
- David S Hijab
- Danielle Hook
- Samantha Judy
- Brooke Ellen Keefner
- Lori Keister
- Kevin McKenzie Chiropractic, PC
- John Kinnie
All providers in Lavale, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.