Individual provider Active NPI

Kristina Bailey, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Bel Air, MD
National Provider Identifier
1316416092
Registry record updated Nov 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007077 Issued in MD
Practice address
5 Bel Air South Pkwy Ste 1535
Bel Air, MD 21015-3816
Phone
(410) 569-0044
NPI assigned
Nov 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0007077 MD Primary

Addresses

Primary practice location

5 Bel Air South Pkwy Ste 1535
Bel Air, MD 21015-3816

Mailing address

103 Enchanted Hills Rd Apt 203
Owings Mills, MD 21117-3022
Phone (443) 480-0301

Other names 1

  • Kristina Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20190305001151 DC Practitioner - Physician Assistant 3072852391 Reassigns benefits to 1 organization
I20190305003290 MD Practitioner - Physician Assistant 3072852391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Family Care IncGroup PAC ID 5092629394, 157 clinicians

Practice addresses (Care Compare)

7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 663-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0007077MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Place Specialists Inc CurrentSince Jul 16, 2023 Accepting new patients
St. Paul Place Specialists , Inc. CurrentSince Jul 16, 2023 Accepting new patients
MNR Industries, LLC CurrentSince Jan 12, 2019 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Jan 12, 2019 Accepting new patients
MNR Industries, LLC CurrentSince Jan 12, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

5 Bel Air South Pkwy
Ste 1535
Bel Air, MD 21015
Phone (410) 569-0044

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Interoperability endpoints

  • Direct secure messaging: kbailey92167@direct.mdmercy.com

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": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1316416092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ENCHANTED HILLS RD APT 203",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173022",
            "telephone_number": "443-480-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BEL AIR SOUTH PKWY STE 1535",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210153816",
            "telephone_number": "410-569-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KRISTINA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-25",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "THOMPSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.