Active NPI
Ellyse Lopez Lamont, FNP-C
- Family Nurse Practitioner
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R131456
- Practice address
- 186 Eastern Blvd N
Hagerstown, MD 21740-5843 - Phone
- (301) 302-7837
- NPI assigned
- Oct 2, 2017
- Last updated
- May 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AP135273 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP135273 | TX | |
| Family Nurse Practitioner | 363LF0000X | R131456 | MD | Primary |
Addresses
Primary practice location
186 Eastern Blvd N
Hagerstown, MD 21740-5843
Mailing address
203 Charterhouse St
Falling Waters, WV 25419-1698
Phone (240) 818-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Texas Tech University Health Science Center School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Cape Fear Cir
Suite 1
Sneads Ferry, NC 28460-9192
Phone (910) 327-2277
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R131456 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med First Immediate Care & Family Practice, PA | Single Specialty | Current | Accepting new patients |
| Privia Care Center LLC | Single Specialty | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Med First Immediate Care & Family Practice PA | Single Specialty | Past | Accepting new patients |
Locations
609 Richlands Hwy
Ste 6
Jacksonville, NC 28540
Phone (910) 455-7888
1616 E Millbrook Rd
Ste 110
Raleigh, NC 27609
Phone (919) 341-4016
200 Cape Fear Cir
Ste 1
Sneads Ferry, NC 28460
Phone (910) 327-2277
5130 Southport Supply Rd SE
Unit 1011
Southport, NC 28461
Phone (910) 269-2053
Interoperability endpoints
- ellyse.lamont.1@1905.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1053503763
Single Specialty
-
- Family Medicine Physician
- Hampstead, NC
- NPI 1972153724
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Sneads Ferry, NC
- NPI 1609306166
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onslow Memorial Hospital
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1326558545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 CHARTERHOUSE ST",
"city": "FALLING WATERS",
"state": "WV",
"postal_code": "254191698",
"telephone_number": "240-818-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 EASTERN BLVD N",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405843",
"telephone_number": "301-302-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMONT",
"first_name": "ELLYSE",
"middle_name": "LOPEZ",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "AP135273",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135273",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R131456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.