Individual provider Active NPI

Kelley Nicole Robinson, CNM

  • Advanced Practice Midwife
  • Bel Air, MD
National Provider Identifier
1346280476
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R174632 Issued in MD
Practice address
520 Upper Chesapeake Drive
Suite 301
Bel Air, MD 21014
Phone
(410) 939-3121
Fax
(410) 939-8278
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 000251 CT
Advanced Practice Midwife 367A00000X R174632 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Drive
Suite 301
Bel Air, MD 21014

Mailing address

P.O. Box 420
Haure de Grace, MD 21078
Phone (410) 939-3121

Other identifiers 1

IdentifierTypeStateIssuer
004240941MedicaidCT

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090609000503 MD Practitioner - Certified Nurse Midwife (CNM) 4486622487 Reassigns benefits to 1 organization
I20260417003081 DC Practitioner - Certified Nurse Midwife (CNM) 4486622487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Medical Pkwy
Suite 409
Annapolis, MD 21401-3746

PO Box
Suite 778
Easton, MD 21601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000251CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

2003 Medical Pkwy
Ste G50
Annapolis, MD 21401
Phone (410) 573-1094

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

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

7501 Greenway Center Dr
Ste 910
Greenbelt, MD 20770
Phone (301) 982-0657

Interoperability endpoints

  • Direct secure messaging: krobinson185100@direct.aahs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1346280476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 420",
            "city": "HAURE DE GRACE",
            "state": "MD",
            "postal_code": "21078",
            "telephone_number": "410-939-3121",
            "fax_number": "410-939-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DRIVE",
            "address_2": "SUITE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-939-3121",
            "fax_number": "410-939-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KELLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000251",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R174632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004240941",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.