Individual provider Active NPI

Cara Sullivan Chell, CRNP

  • Family Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1275207243
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R173522 Issued in MD
Practice address
5230 Campbell Blvd
Nottingham, MD 21236-4983
Phone
(410) 933-9680
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 R173522 MD Primary

Addresses

Primary practice location

5230 Campbell Blvd
Nottingham, MD 21236-4983

Mailing address

125 Taunton CT
Abingdon, MD 21009-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20211207000753 MD Practitioner - Nurse Practitioner 0547650558 Reassigns benefits to 2 organizations
I20211207001526 DC Practitioner - Nurse Practitioner 0547650558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umms Ambulatory Care LLCGroup PAC ID 8426461427, 53 clinicians

Practice addresses (Care Compare)

1730 Merritt Blvd
Dundalk, MD 21222-3212
Phone (410) 650-4730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R173522MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC CurrentSince May 1, 2023 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
Minuteclinic LLC Family CurrentSince Sep 23, 2021 Accepting new patients
Umms Ambulatory Care LLC CurrentSince May 1, 2023 Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

5230 Campbell Blvd
Nottingham, MD 21236
Phone (410) 933-9632

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

Interoperability endpoints

  • Direct secure messaging: cchell662632@direct.umm.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1275207243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TAUNTON CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CAMPBELL BLVD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364983",
            "telephone_number": "410-933-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELL",
        "first_name": "CARA",
        "middle_name": "SULLIVAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R173522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.