Individual provider Active NPI

Michelle Klein, NP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1275902785
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R1577851 Issued in MD
Practice address
29 S Greene St
Division of Transplantation (2ND Floor/Liver Transplant
Baltimore, MD 21201-1504
Phone
(410) 328-5408
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R157851 MD
Family Nurse Practitioner 363LF0000X R1577851 MD Primary

Addresses

Primary practice location

29 S Greene St
Division of Transplantation (2ND Floor/Liver Transplant
Baltimore, MD 21201-1504

Mailing address

901 Windwhisper LN
Annapolis, MD 21403-3486
Phone (301) 412-9059

Other practice location 1

901 Windwhisper Ln
Annapolis, MD 21403-3486
Phone (301) 412-9059

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
I20240409004006 MD Practitioner - Nurse Practitioner 4486941853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 Windwhisper LN
Annapolis, MD 21403-3486
Phone (301) 412-9059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1577851MDMDFamily Nurse Practitioner
R157851MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Mobile NP, LLC CurrentSince Mar 15, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.klein@1054163712475140.direct.elationemr.com
  • Direct secure messaging: mklein19039@direct.umm.edu

Organizations & group practices 2

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1275902785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WINDWHISPER LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033486",
            "telephone_number": "301-412-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S GREENE ST",
            "address_2": "DIVISION OF TRANSPLANTATION (2ND FLOOR/LIVER TRANSPLANT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011504",
            "telephone_number": "410-328-5408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Windwhisper Ln",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214033486",
            "country_code": "US",
            "telephone_number": "301-412-9059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R157851",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R1577851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.