Individual provider Active NPI

Bernadette Morrissey Wood, CRNP

  • Family Nurse Practitioner
  • Denton, MD
National Provider Identifier
1295238509
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R164214 Issued in MD
Practice address
8 Denton PLZ
Denton, MD 21629-9501
Phone
(443) 606-2300
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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 R164214 MD Primary

Addresses

Primary practice location

8 Denton PLZ
Denton, MD 21629-9501

Mailing address

8200 New Bridge Rd
Denton, MD 21629-1659
Phone (410) 490-0638

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
I20180911002312 MD Practitioner - Nurse Practitioner 9931459005 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R164214MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Nov 6, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 3, 2018 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 11, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 3, 2018 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Privia Care Center LLC Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 11, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. PastSince Apr 21, 2024 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

1140 Blades Farm Rd
Ste 101
Denton, MD 21629
Phone (410) 479-3510

219 S Washington St
Easton, MD 21601

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Organizations & group practices 8

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 5

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": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1295238509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NEW BRIDGE RD",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291659",
            "telephone_number": "410-490-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DENTON PLZ",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216299501",
            "telephone_number": "443-606-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BERNADETTE",
        "middle_name": "MORRISSEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R164214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

Verify at the official NPI Registry.