Active NPI
Justine F. Corwin, CRNP
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1184922346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R190822
- Practice address
- 110 S Paca St
7TH Floor
Baltimore, MD 21201-1642 - Phone
- (410) 328-7260
- Fax
- (410) 328-1048
- NPI assigned
- Mar 11, 2011
- 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 | R190822 | MD | Primary |
Addresses
Primary practice location
110 S Paca St
7TH Floor
Baltimore, MD 21201-1642
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-7260
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S062-0420 | Other | MD | BC/BS REGIONAL |
| 335524100 | Medicaid | MD | |
| 973265-01 | Other | MD | CAREFIRST BC/BS |
| 1184922346 | Medicaid | DE |
Other names 1
- Ms. Justine F. Kerwin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1184922346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64442",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644442",
"telephone_number": "410-328-7260",
"fax_number": "410-328-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S PACA ST",
"address_2": "7TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011642",
"telephone_number": "410-328-7260",
"fax_number": "410-328-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORWIN",
"first_name": "JUSTINE",
"middle_name": "F.",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-11",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R190822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS REGIONAL",
"identifier": "S062-0420",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335524100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "973265-01",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184922346",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUSTINE",
"last_name": "KERWIN",
"middle_name": "F.",
"prefix": "MS.",
"credential": "CRNP",
"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 Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.