Individual provider Active NPI

Kristine Nell Bizzarro, PA-C

  • Physician Assistant
  • Bel Air, MD
National Provider Identifier
1205475720
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007830 Issued in MD
Practice address
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone
(443) 643-1000
NPI assigned
Jan 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0007830 MD Primary

Addresses

Primary practice location

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324

Mailing address

500 Upper Chesapeake Dr
Attn: Hospital Medicine
Bel Air, MD 21014-3218
Phone (443) 643-1000

Other practice location 1

4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200
Phone (302) 623-0188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210614000959 MD Practitioner - Physician Assistant 5597165506 Reassigns benefits to 6 organizations
I20241113003897 DE Practitioner - Physician Assistant 5597165506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adfinitas Health at Upper Chesapeake LLCGroup PAC ID 6305202540, 77 clinicians
Adfinitas Health at Upper Chesapeake Aberdeen LLCGroup PAC ID 8022475581, 44 clinicians

Practice addresses (Care Compare)

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

660 McHenry Rd
Aberdeen, MD 21001-2682
Phone (443) 843-5000

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

Merit-based Incentive Payment System (MIPS)

Final score
51.44 of 100Reported as group
Quality
0
Improvement activities
40
Cost
93.46

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
80.89
Improvement activities
40
Cost
75.39

Merit-based Incentive Payment System (MIPS)

Final score
73.85 of 100Reported as group
Quality
61.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0007830MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Oct 15, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 3, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 3, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2024 Accepting new patients
Union Hospital of Cecil County, Inc. Physician Assistant CurrentSince Oct 15, 2024 Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

Interoperability endpoints

  • Direct secure messaging: kbizzarro818526@direct.umm.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1205475720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "address_2": "ATTN: HOSPITAL MEDICINE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143218",
            "telephone_number": "443-643-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 5A43",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-623-0188",
            "fax_number": "302-733-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIZZARRO",
        "first_name": "KRISTINE",
        "middle_name": "NELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.