Individual provider Active NPI

Mitsy Griffiths, NP

  • Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1417736604
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R260094 Issued in MD
Practice address
1150 Professional CT
Hagerstown, MD 21740-4100
Phone
(301) 665-9696
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R260094 MD Primary

Addresses

Primary practice location

1150 Professional CT
Hagerstown, MD 21740-4100

Mailing address

1150 Professional CT Ste P
Hagerstown, MD 21740-4100
Phone (301) 655-9696

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
I20231106003721 MD Practitioner - Nurse Practitioner 3678920048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pain Management, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

1150 Professional Ct
Ste B
Hagerstown, MD 21740
Phone (301) 797-4901

1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1417736604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PROFESSIONAL CT STE P",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404100",
            "telephone_number": "301-655-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PROFESSIONAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404100",
            "telephone_number": "301-665-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITHS",
        "first_name": "MITSY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R260094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.