Individual provider Active NPI

Michael Dartey, CRNP

  • Family Nurse Practitioner
  • Cooksville, MD
National Provider Identifier
1396351409
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R168617 Issued in MD
Practice address
2045 Drovers LN
Cooksville, MD 21723-9504
Phone
(301) 996-9052
NPI assigned
Sep 23, 2020
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 R168617 MD Primary

Addresses

Primary practice location

2045 Drovers LN
Cooksville, MD 21723-9504

Mailing address

2045 Drovers LN
Cooksville, MD 21723-9504
Phone (301) 996-9052

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
I20230426001993 MD Practitioner - Nurse Practitioner 2668845454 Reassigns benefits to 2 organizations
I20230426002263 DC Practitioner - Nurse Practitioner 2668845454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.45 of 100Reported as group
Quality
67.28
Promoting interoperability
98
Improvement activities
40
Cost
72.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R168617MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 12, 2023 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Feb 24, 2025 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Feb 24, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Feb 12, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Apright Home Health Solutions LLC CurrentSince May 22, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 12, 2023 Accepting new patients

Locations

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1396351409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 DROVERS LN",
            "city": "COOKSVILLE",
            "state": "MD",
            "postal_code": "217239504",
            "telephone_number": "301-996-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 DROVERS LN",
            "city": "COOKSVILLE",
            "state": "MD",
            "postal_code": "217239504",
            "telephone_number": "301-996-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARTEY",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R168617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooksville, MD

Sources for this page

Verify at the official NPI Registry.