Individual provider Active NPI

Ann Marie Felauer, APNP, CPNP

  • Critical Care Pediatric Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1417022294
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
R169295 Issued in MD
Practice address
655 W Lombard Street
Suite 575C
Baltimore, MD 21201-4837
Phone
(410) 706-1501
Fax
(410) 706-0253
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 2268 WI
Critical Care Pediatric Nurse Practitioner 363LP0222X R169295 MD Primary

Addresses

Primary practice location

655 W Lombard Street
Suite 575C
Baltimore, MD 21201-4837

Mailing address

655 W Lombard Street
Suite 575C
Baltimore, MD 21201-4837
Phone (410) 706-1501

Other identifiers 1

IdentifierTypeStateIssuer
43993500MedicaidWI

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
I20141022001279 MD Practitioner - Nurse Practitioner 6800793852 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2268WIMDGeneral Practice Dentistry
R169295MDMDCritical Care Pediatric Nurse Practitioner

Organizations & group practices 1

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1417022294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W LOMBARD STREET",
            "address_2": "SUITE 575C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014837",
            "telephone_number": "410-706-1501",
            "fax_number": "410-706-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W LOMBARD STREET",
            "address_2": "SUITE 575C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014837",
            "telephone_number": "410-706-1501",
            "fax_number": "410-706-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELAUER",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "WI",
            "license": "2268",
            "primary": false
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MD",
            "license": "R169295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43993500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.