NPIMap

Individual provider Active NPI

Craig S Zylka, CRNP

  • Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1417952953
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R129525 Issued in MD
Practice address
2 North Ave
Ste 101
Bel Air, MD 21014-2303
Phone
(410) 838-6434
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 R129525 MD Primary

Addresses

Primary practice location

2 North Ave
Ste 101
Bel Air, MD 21014-2303

Mailing address

615 W Macphail Rd
Ste 106
Bel Air, MD 21014-4393
Phone (410) 638-8900

Other identifiers 1

IdentifierTypeStateIssuer
000975000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000128 MD Practitioner - Nurse Practitioner 9931156833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Harford Primary Care LLCGroup PAC ID 3971499971, 27 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

2 N Ave
Suite 101
Bel Air, MD 21014-2303
Phone (410) 838-6434

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Forest Hill, MD, CCN 217045
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Primary Care LLC CurrentSince May 12, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2 North Ave
Ste 101
Bel Air, MD 21014
Phone (410) 296-1661

615 W Macphail Rd
Ste 106
Bel Air, MD 21014
Phone (410) 638-8900

Organizations & group practices 3

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 6

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1417952953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD",
            "address_2": "STE 106",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144393",
            "telephone_number": "410-638-8900",
            "fax_number": "410-638-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORTH AVE",
            "address_2": "STE 101",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142303",
            "telephone_number": "410-838-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYLKA",
        "first_name": "CRAIG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R129525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000975000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.