Individual provider Active NPI

Sarah Callanan, CRNP

  • Family Nurse Practitioner
  • Chester, MD
National Provider Identifier
1316079494
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000857 Issued in DE
Practice address
1630 Main St
Suite 101
Chester, MD 21619-2791
Phone
(410) 604-6560
NPI assigned
Mar 12, 2007
Last updated
Oct 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 R069851 MD
Family Nurse Practitioner 363LF0000X LG-0000857 DE Primary

Addresses

Primary practice location

1630 Main St
Suite 101
Chester, MD 21619-2791

Mailing address

PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6577

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080919000262 MD Practitioner - Nurse Practitioner 8921175795 Reassigns benefits to 2 organizations
I20150407000192 DC Practitioner - Nurse Practitioner 8921175795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

1420 Key Hwy
Baltimore, MD 21230-5546
Phone (410) 230-7800

18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000857DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Jul 10, 2018 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Feb 17, 2014 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Jul 10, 2018 Accepting new patients
Medstar Urgent Care LLC CurrentSince Aug 17, 2021 Accepting new patients
Titus C. Abraham, MD, LLC Past Accepting new patients
Baltimore Medical System, Inc. Past Accepting new patients
Johns Hopkins Community Physicians, Inc Past Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

1630 Main St
Ste 101
Chester, MD 21619
Phone (410) 604-6560

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

555 Cynwood Dr
Easton, MD 21601
Phone (410) 810-0767

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 9

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1316079494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017",
            "telephone_number": "443-481-6577",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAIN ST",
            "address_2": "SUITE 101",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192791",
            "telephone_number": "410-604-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLANAN",
        "first_name": "SARAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R069851",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, MD

Sources for this page

Verify at the official NPI Registry.