Active NPI
Tricia L Roesch, CRNP
- Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R166637
- Practice address
- 900 Caton Ave
Mailbox 207
Baltimore, MD 21229-5201 - Phone
- (410) 368-2730
- Fax
- (410) 400-6967
- NPI assigned
- Jan 8, 2008
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R166637 | MD | Primary |
Addresses
Primary practice location
900 Caton Ave
Mailbox 207
Baltimore, MD 21229-5201
Mailing address
900 Caton Ave
Mailbox 207
Baltimore, MD 21229-5201
Phone (410) 368-2730
Other names 1
- Tricia L Kenney
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000
305 Hospital Dr
Glen Burnie, MD 21061-5805
Phone (410) 553-8150
305 Hospital Dr
Suite 305
Glen Burnie, MD 21061-5862
Phone (410) 553-8240
313 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 761-1222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R166637 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Surgical Associates, PA | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Nurse Practitioner | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
900 S Caton Ave
#207
Baltimore, MD 21229
Phone (410) 368-2718
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
3407 Wilkens Ave
Ste 220
Baltimore, MD 21229
Phone (301) 490-2193
419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
305 Hospital Dr
Ste 304
Glen Burnie, MD 21061
Phone (410) 266-2725
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
Interoperability endpoints
- troesch477990@direct.umm.edu
- tricia.roesch.1@10777.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Specialist
- Baltimore, MD
- NPI 1962417634
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780615922
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1174708234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CATON AVE",
"address_2": "MAILBOX 207",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295201",
"telephone_number": "410-368-2730",
"fax_number": "410-400-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CATON AVE",
"address_2": "MAILBOX 207",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295201",
"telephone_number": "410-368-2730",
"fax_number": "410-400-6967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESCH",
"first_name": "TRICIA",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R166637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRICIA",
"last_name": "KENNEY",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.