Individual provider Active NPI

Presley Jo Fortune, CRNP

  • Family Nurse Practitioner
  • Solomons, MD
National Provider Identifier
1306722764
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R260200 Issued in MD
Practice address
14090 HG Trueman Rd # 2500
Solomons, MD 20688-3151
Phone
(410) 326-0305
NPI assigned
Aug 12, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 R260200 MD Primary

Addresses

Primary practice location

14090 HG Trueman Rd # 2500
Solomons, MD 20688-3151

Mailing address

2409 Green Leaf Ter
Chesapeake Beach, MD 20732-4631
Phone (765) 465-6309

Other practice location 1

10845 Town Center Blvd Ste 202
Dunkirk, MD 20754-2712
Phone (410) 535-2005

Other practice location 2

110 Hospital Rd Ste 303
Prince Frederick, MD 20678-4044
Phone (410) 535-2005

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
I20251107001405 MD Practitioner - Nurse Practitioner 3779073739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calvert Internal Medicine Group, PAGroup PAC ID 1759371834, 40 clinicians

Practice addresses (Care Compare)

10845 Town Ctr Blvd
Suite 204
Dunkirk, MD 20754-2712
Phone (410) 535-2005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R260200MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Internal Medicine Group PA CurrentSince Oct 1, 2025 Accepting new patients
Glenn G. Marinelli MD PA Past Accepting new patients

Locations

10845 Town Center Blvd
Ste 204
Dunkirk, MD 20754

110 Hospital Rd
Ste 303
Prnc Frederck, MD 20678
Phone (301) 475-8757

205 Steeple Chase Dr
Ste 304
Prnc Frederck, MD 20678
Phone (443) 486-4088

985 Prince Frederick Blvd
Ste 201
Prnc Frederck, MD 20678
Phone (410) 414-5329

Interoperability endpoints

  • Direct secure messaging: pfortune@calvertinternalmedicine.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1306722764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 GREEN LEAF TER",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207324631",
            "telephone_number": "765-465-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 HG TRUEMAN RD # 2500",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883151",
            "telephone_number": "410-326-0305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10845 Town Center Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "MD",
            "postal_code": "207542712",
            "country_code": "US",
            "telephone_number": "410-535-2005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Hospital Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784044",
            "country_code": "US",
            "telephone_number": "410-535-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "PRESLEY",
        "middle_name": "JO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R260200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solomons, MD

Sources for this page

Verify at the official NPI Registry.