Individual provider Active NPI

Carl Hamilton, CRNP

  • Family Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1366264137
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R230434 Issued in MD
Practice address
7678 Quarterfield Rd Ste 201
Glen Burnie, MD 21061-7071
Phone
(410) 766-9413
Fax
(410) 768-1750
NPI assigned
Oct 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 R230434 MD Primary

Addresses

Primary practice location

7678 Quarterfield Rd Ste 201
Glen Burnie, MD 21061-7071

Mailing address

7678 Quarterfield Rd Ste 201
Glen Burnie, MD 21061-7071
Phone (410) 766-9413

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
I20250121003728 MD Practitioner - Nurse Practitioner 9032648001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miles River Primary Care LLCGroup PAC ID 1951425545, 10 clinicians

Practice addresses (Care Compare)

8579 Commerce Dr
Suite 104
Easton, MD 21601-7420
Phone (410) 822-9133

Hospital & facility affiliations

  • Homecall Home health agency, Easton, MD, CCN 217066
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seven 2 Seven Medical Services LLC Family CurrentSince Jan 1, 2025 Accepting new patients
Miles River Primary Care LLC CurrentSince Apr 7, 2025 Accepting new patients
Seven 2 Seven Medical Services LLC PastSince Aug 30, 2020 Accepting new patients
Miles River Primary Care LLC PastSince Oct 6, 2024 Accepting new patients

Locations

618 Sunburst Hwy
Cambridge, MD 21613
Phone (667) 327-0228

8579 Commerce Dr
Ste 104
Easton, MD 21601
Phone (410) 822-8550

7678 Quarterfield Rd
Ste 201
Glen Burnie, MD 21061
Phone (410) 701-9071

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1366264137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7678 QUARTERFIELD RD STE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210617071",
            "telephone_number": "410-766-9413",
            "fax_number": "410-768-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7678 QUARTERFIELD RD STE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210617071",
            "telephone_number": "410-766-9413",
            "fax_number": "410-768-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CARL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R230434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.