Active NPI
Carrie Kirkpatrick
- Women's Health Nurse Practitioner
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R150788
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 86.34
- Improvement activities
- 40
- Cost
- 74.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R150788 | MD | MD | Perinatal Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna OB-GYN LLC | Current | Accepting new patients | |
| Maryland Physicians Edge LLC | Women'S Health | Current | Accepting new patients |
| Maryland Physicians Edge LLC | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Silver Spring, MD
- NPI 1972922920
MD, Women'S Health
-
- Clinical Medical Laboratory
- Beltsville, MD
- NPI 1700572518
-
- Gynecology Physician
- New York, NY
- NPI 1700450558
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.