Individual provider Active NPI

Lisa Michele Bearman, CRNP

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1306492913
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R169032 Issued in MD
Practice address
9103 Franklin Square Dr Ste 1800
Baltimore, MD 21237-3938
Phone
(443) 777-2467
NPI assigned
Aug 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R169032 MD Primary

Addresses

Primary practice location

9103 Franklin Square Dr Ste 1800
Baltimore, MD 21237-3938

Mailing address

8924 Philadelphia Rd
Baltimore, MD 21237-4313
Phone (410) 790-9477

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
I20191106000033 MD Practitioner - Nurse Practitioner 1759613094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

515 Fairmount Ave
Suite 500
Towson, MD 21286-8502
Phone (410) 494-1662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R169032MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc CurrentSince Oct 3, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2021 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jun 19, 2023 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Oct 3, 2022 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jun 19, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

9103 Franklin Square Dr
Ste 1800
Rosedale, MD 21237
Phone (443) 777-2467

515 Fairmount Ave
Ste 500
Towson, MD 21286
Phone (410) 494-1662

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: lisa.bearman@pccab.directbygreenway.com

Organizations & group practices 7

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 1

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": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1306492913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 PHILADELPHIA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374313",
            "telephone_number": "410-790-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 FRANKLIN SQUARE DR STE 1800",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373938",
            "telephone_number": "443-777-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARMAN",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R169032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.