Freda Boateng, CRNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R226241 Issued in MD

Practice address

1205 York Rd Ste 26
Lutherville, MD 21093-6211

Phone

(410) 532-1640

Fax

(410) 321-5787

NPI assigned

May 11, 2022

Last updated

Apr 14, 2023By the provider in NPPES

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, 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Optimize Medical GroupGroup PAC ID 0446512040, 31 clinicians

Synergy Medical Group LLCGroup PAC ID 0749644177, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan York Hospital Hospital, York, PA, CCN 390046
• Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fredaboateng@mana.allscriptsdirect.net

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.

• Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1356390108
  Medicare reassignment Care Compare group NPD
• Optimize Medical Group

  • Adult Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1952818999

  DC

  Medicare reassignment Care Compare group NPD
• Synergy Medical Group LLC

  • Vascular Surgery Physician
  • Timonium, MD
  • NPI 1679363089

  DC

  Medicare reassignment Care Compare group
• Synergy Medical Group LLC

  • Internal Medicine Physician
  • Lutherville, MD
  • NPI 1912736901
  Medicare reassignment NPD
• Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Lutherville, MD
  • NPI 1366291254
  NPD
• Synergy Medical Group LLC

  • Urology Physician
  • Lutherville, MD
  • NPI 1801639372
  NPD
• Synergy Medical Group LLC

  • Nephrology Physician
  • Hagerstown, MD
  • NPI 1881564979
  NPD
• Post Acute Health Care Services LLC

  • Acute Care Nurse Practitioner
  • Pikesville, MD
  • NPI 1982423653
  NPD (past)
• Synergy Medical Group LLC

  • Nephrology Physician
  • Timonium, MD
  • NPI 1144902776
  NPD (past)

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

• The Johns Hopkins Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1578597993
  Care Compare affiliation
• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492
  Care Compare affiliation
• York Hospital

  dba York Hospital Community Health Center

  • Clinic/Center
  • York, PA
  • NPI 1497814040

  Hospital

  Care Compare affiliation
• York Hospital

  dba WellSpan York Hospital OB/GYN

  • Clinic/Center
  • York, PA
  • NPI 1609112036

  Hospital

  Care Compare affiliation
• York Hospital

  • Family Medicine Physician
  • York, PA
  • NPI 1881617132

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1295471373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "443-575-4880",
            "fax_number": "443-575-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 26",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "410-532-1640",
            "fax_number": "410-321-5787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Crossroads Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175533",
            "country_code": "US",
            "telephone_number": "410-602-7792",
            "fax_number": "410-602-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "FREDA",
        "credential": "CRNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R226241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica B Bley, LCPC
• Gilbert Bliss, LCSW-C
• Krystyna J. Blotny, M.D.
• Trinae L Blount
• Alison Blumenthal, DPT
• Lauren Lauck Bogue, M.D.,F.A.A.P.
• Donna Grey Booth, M.D.
• Stephen E Boretzky, PTA
• Caroline Bos
• Robert Bradley Boughan, MD

• Family Nurse Practitioner in Lutherville, MD
• Providers in Lutherville, 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 Apr 14, 2023; 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.