Keisha Sereen Parke Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R166453 Issued in MD

Practice address

1232 Race Road
Ste 403
Rosedale, MD 21237-2123

Phone

(443) 868-7101

Fax

(443) 732-0054

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048

Merit-based Incentive Payment System (MIPS)

Final score

83.31 of 100Reported as group

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Cost

70.47

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kparkesmith11311@direct.hopkinsmedicine.org

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.

• Johns Hopkins University

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment Care Compare group NPD
• Johns Hopkins University

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1740286418
  NPD
• Viewpoint Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
  • NPI 1801492731
  NPD
• Post Acute Health Care Services LLC

  • Acute Care Nurse Practitioner
  • Pikesville, MD
  • NPI 1982423653
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Howard County General Hospital, Inc,

  • General Acute Care Hospital
  • Columbia, MD
  • NPI 1144291899
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1275119232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423",
            "fax_number": "410-500-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE ROAD",
            "address_2": "STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372123",
            "telephone_number": "443-868-7101",
            "fax_number": "443-732-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021320",
            "country_code": "US",
            "telephone_number": "215-895-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKE SMITH",
        "first_name": "KEISHA",
        "middle_name": "SEREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R166453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheree Paige, LMSW
• Tenzin Paldon
• Katrina Marie Pama, BCBA, LBA
• Abey Pappanal, CRNP
• John Pare', PT
• Jenora Lyn Parker, PHARMD
• Ryan Alex Parker, MSW
• Tiffany Faith Parks, MSW
• Parsley Medical Group FL PA
• Savannah J Parson

• Family Nurse Practitioner in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.