Individual provider Active NPI

Chelcie Lecompte, FNP

  • Family Nurse Practitioner
  • Cambridge, MD
National Provider Identifier
1184379083
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R200997 Issued in MD
Practice address
618 Sunburst Hwy
Cambridge, MD 21613-2546
Phone
(667) 327-0228
Fax
(410) 822-9513
NPI assigned
Feb 18, 2022
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R200997 MD Primary

Addresses

Primary practice location

618 Sunburst Hwy
Cambridge, MD 21613-2546

Mailing address

8579 Commerce Dr Ste 104
Easton, MD 21601-7420
Phone (443) 521-4551

Other practice location 1

8579 Commerce Dr Ste 104
Easton, MD 21601-7420
Phone (410) 822-9133

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
I20220404002634 MD Practitioner - Nurse Practitioner 2769878586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Miles River Primary Care LLCGroup PAC ID 1951425545, 10 clinicians

Practice addresses (Care Compare)

8579 Commerce Dr
Suite 104
Easton, MD 21601-7420
Phone (410) 822-9133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R200997MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miles River Primary Care LLC CurrentSince Nov 10, 2024 Accepting new patients
Miles River Primary Care LLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

618 Sunburst Hwy
Cambridge, MD 21613
Phone (667) 327-0228

8579 Commerce Dr
Ste 104
Easton, MD 21601
Phone (410) 822-8550

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1184379083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8579 COMMERCE DR STE 104",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017420",
            "telephone_number": "443-521-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 SUNBURST HWY",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132546",
            "telephone_number": "667-327-0228",
            "fax_number": "410-822-9513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8579 Commerce Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216017420",
            "country_code": "US",
            "telephone_number": "410-822-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECOMPTE",
        "first_name": "CHELCIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.