Individual provider Active NPI

Carrie Kirkpatrick

  • Women's Health Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1386210490
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R150788 Issued in MD
Practice address
520 Upper Chesapeake Dr Ste 301
Bel Air, MD 21014-4375
Phone
(410) 939-3121
NPI assigned
May 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Registered Nurse 163WP1700X R150788 MD
Women's Health Nurse Practitioner 363LW0102X R150788 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr Ste 301
Bel Air, MD 21014-4375

Mailing address

5119 Bright Owl Rd
Perry Hall, MD 21128-8971
Phone (703) 477-6578

Other practice location 1

308 N Union Ave
Havre DE Grace, MD 21078-2825
Phone (410) 939-3121

Other practice location 2

5119 Bright Owl Rd
Perry Hall, MD 21128-8971
Phone (703) 477-6578

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
I20231009000978 MD Practitioner - Nurse Practitioner 7719332931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna OB-GYN LLC 7 clinicians

Practice addresses (Care Compare)

520 Upper Chesapeake Dr
Suite 301
Bel Air, MD 21014-4375
Phone (443) 643-4300

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
86.34
Improvement activities
40
Cost
74.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R150788MDMDPerinatal Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna OB-GYN LLC CurrentSince Aug 26, 2023 Accepting new patients
Maryland Physicians Edge LLC Women'S Health CurrentSince Feb 1, 2026 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Feb 1, 2026 Accepting new patients
Allara Medical Group PA Past Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 301
Bel Air, MD 21014
Phone (410) 643-4300

12240 Indian Creek Ct
Ste 130
Beltsville, MD 20705
Phone (240) 560-5089

308 N Union Ave
Hvre de Grace, MD 21078
Phone (410) 939-3121

Interoperability endpoints

  • Direct secure messaging: carrie.kirkpatrick.1@18404.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1386210490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 BRIGHT OWL RD",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211288971",
            "telephone_number": "703-477-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144375",
            "telephone_number": "410-939-3121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 N Union Ave",
            "address_purpose": "LOCATION",
            "city": "Havre DE Grace",
            "state": "MD",
            "postal_code": "210782825",
            "country_code": "US",
            "telephone_number": "410-939-3121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5119 Bright Owl Rd",
            "address_purpose": "LOCATION",
            "city": "Perry Hall",
            "state": "MD",
            "postal_code": "211288971",
            "country_code": "US",
            "telephone_number": "703-477-6578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "CARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-29",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "MD",
            "license": "R150788",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R150788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.