Individual provider Active NPI

Mary Beth Thier, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1386899045
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R158577 Issued in MD
Practice address
602 S Atwood Rd
Suite 206
Bel Air, MD 21014-4172
Phone
(410) 638-7544
NPI assigned
Nov 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R158577 MD Primary

Addresses

Primary practice location

602 S Atwood Rd
Suite 206
Bel Air, MD 21014-4172

Mailing address

227 Gateway Dr
Ste J
Bel Air, MD 21014-4287
Phone (410) 638-7544

Other names 1

  • Mary Beth Van Bramer Former name

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
I20090904000049 MD Practitioner - Nurse Practitioner 4486709920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Chesapeake Medical Services IncGroup PAC ID 3173556974, 18 clinicians
Upper Chesapeake Critical Care Associates, LLCGroup PAC ID 4587754528, 28 clinicians

Practice addresses (Care Compare)

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1508

520 Upper Chesapeake Dr
Bel Air, MD 21014-4339
Phone (410) 836-0128

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R158577MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Critical Care Associates, LLC CurrentSince Sep 6, 2009 Accepting new patients
Upper Chesapeake Medical Services, Inc CurrentSince May 1, 2024 Accepting new patients

Locations

615 W Macphail Rd
Ste 206
Bel Air, MD 21014
Phone (410) 638-5101

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128

227 Gateway Dr
Ste J
Bel Air, MD 21014
Phone (410) 638-7544

Organizations & group practices 2

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": "1227312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1386899045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 GATEWAY DR",
            "address_2": "STE J",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144287",
            "telephone_number": "410-638-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S ATWOOD RD",
            "address_2": "SUITE 206",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144172",
            "telephone_number": "410-638-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIER",
        "first_name": "MARY BETH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-22",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R158577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY BETH",
            "last_name": "VAN BRAMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.