Individual provider Active NPI

Christopher James Roberson, CRNP

  • Adult Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1184064941
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R179907 Issued in MD
Practice address
827 Linden Ave Ste B
Baltimore, MD 21201-4606
Phone
(410) 328-5487
Fax
(410) 328-4430
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R179907 MD
Primary Care Nurse Practitioner 363LP2300X R179907 MD
Adult Health Nurse Practitioner 363LA2200X R179907 MD Primary

Addresses

Primary practice location

827 Linden Ave Ste B
Baltimore, MD 21201-4606

Mailing address

877 1/2 W Lombard St
Baltimore, MD 21201-1061
Phone (443) 857-7247

Other identifiers 2

IdentifierTypeStateIssuer
700404400MedicaidMD
S062-0538OtherMDCAREFIRST BC/BS

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
I20140303001311 MD Practitioner - Nurse Practitioner 0749410272 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R179907MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians P.a. Current Accepting new patients
Sinai Hospital of Baltimore, Inc CurrentSince Jan 22, 2022 Accepting new patients
University of Maryland Physicians PA CurrentSince Dec 9, 2013 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jan 22, 2022 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Dec 9, 2013 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients

Locations

827 Linden Ave
Ste B
Baltimore, MD 21201
Phone (410) 225-8230

2435 W Belvedere Ave
Ste 17
Baltimore, MD 21215
Phone (410) 601-5941

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

849 Fairmount Ave
Ste 100B
Towson, MD 21286
Phone (410) 235-1168

Organizations & group practices 8

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1184064941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 1/2 W LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011061",
            "telephone_number": "443-857-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 LINDEN AVE STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014606",
            "telephone_number": "410-328-5487",
            "fax_number": "410-328-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R179907",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R179907",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R179907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700404400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "S062-0538",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.