Individual provider Active NPI

Mary Anderson, CRNP

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1225418221
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R215767 Issued in MD
Practice address
419 W Redwood St Ste 300
Baltimore, MD 21201-7003
Phone
(667) 214-1734
Fax
(410) 706-6976
NPI assigned
Jun 4, 2015
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R215767 MD Primary

Addresses

Primary practice location

419 W Redwood St Ste 300
Baltimore, MD 21201-7003

Mailing address

PO Box 64226
Baltimore, MD 21264-4226
Phone (667) 214-1734

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
I20180507000314 MD Practitioner - Nurse Practitioner 9537478680 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-1230

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 225-8446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
81.34
Promoting interoperability
100
Improvement activities
40
Cost
70.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Feb 19, 2018 Accepting new patients
University of Maryland Physicians, P.a. CurrentSince Jul 20, 2022 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Jul 20, 2022 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Apr 25, 2024 Accepting new patients
University of Maryland Oncology Associates, PA CurrentSince Jul 6, 2022 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Sep 13, 2023 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Sep 13, 2023 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Feb 19, 2018 Accepting new patients
Fidel Integrated Medical Solutions PC Acute Care CurrentSince Jul 1, 2019 Accepting new patients
University of Maryland Oncology Associates, PA CurrentSince Jul 6, 2022 Accepting new patients
University of Maryland Surgical Associates, PA CurrentSince Mar 10, 2025 Accepting new patients
University of Maryland Surgcial Assoc PA PastSince Mar 10, 2025 Accepting new patients
Fidel Chiropractic Center, Inc. PastSince Jan 1, 2010 Accepting new patients

Locations

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

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

419 W Redwood St
Ste 300
Baltimore, MD 21201
Phone (410) 328-5300

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

1866 Reisterstown Rd
#F
Pikesville, MD 21208
Phone (410) 358-0060

1866F Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-5642

7505 Osler Dr
Ste 402
Towson, MD 21204
Phone (410) 339-7447

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1225418221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64226",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644226",
            "telephone_number": "667-214-1734",
            "fax_number": "410-706-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017003",
            "telephone_number": "667-214-1734",
            "fax_number": "410-706-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R215767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.