Individual provider Active NPI

Regina Kundell, CRNP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1376546994
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R095408 Issued in MD
Practice address
7315 Wisconsin Ave
Bethesda, MD 20814-3202
Phone
(240) 235-9120
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 R095408 MD Primary

Addresses

Primary practice location

7315 Wisconsin Ave
Bethesda, MD 20814-3202

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (301) 663-3836

Other practice location 1

65 Thomas Johnson Dr
C
Frederick, MD 21702-4371
Phone (301) 663-3836

Other identifiers 1

IdentifierTypeStateIssuer
001314500MedicaidMD

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
I20040723000053 MD Practitioner - Nurse Practitioner 3870573405 Reassigns benefits to 3 organizations
I20190110002548 DC Practitioner - Nurse Practitioner 3870573405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians
Maryland Endocrine, P.a.Group PAC ID 4082659529, 12 clinicians
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

5500 Knoll N Dr
Suite 510
Columbia, MD 21045-2365
Phone (301) 953-2080

7315 Wisconsin Ave
Suite 700
Bethesda, MD 20814-3202
Phone (240) 235-9100

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3120

Hospital & facility affiliations

  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R095408MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince Nov 19, 2018 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Nov 19, 2018 Accepting new patients
St Agnes Healthcare Inc CurrentSince Aug 21, 2023 Accepting new patients
St Agnes Healthcare Inc CurrentSince Aug 21, 2023 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Nov 19, 2018 Accepting new patients
Maryland Endocrine, P.a. CurrentSince Nov 1, 2025 Accepting new patients
Frederick Health Hospital Inc PastSince Nov 1, 2025 Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

5500 Knoll North Dr
Ste 510
Columbia, MD 21045
Phone (301) 953-2080

10710 Charter Dr
Ste 410
Columbia, MD 21044
Phone (301) 953-2080

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDAAAA

Organizations & group practices 7

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 2

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1376546994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "301-663-3836",
            "fax_number": "301-663-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143202",
            "telephone_number": "240-235-9120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Thomas Johnson Dr",
            "address_2": "C",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024371",
            "country_code": "US",
            "telephone_number": "301-663-3836",
            "fax_number": "301-663-8062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNDELL",
        "first_name": "REGINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R095408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001314500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.