Individual provider Active NPI

Anneliese Schurtz

  • Pediatric Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1427564616
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R174128 Issued in MD
Practice address
9000 Franklin Square Dr
Rosedale, MD 21237-3901
Phone
(443) 449-9965
NPI assigned
Dec 26, 2017
Last updated
Dec 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R174128 MD Primary

Addresses

Primary practice location

9000 Franklin Square Dr
Rosedale, MD 21237-3901

Mailing address

9000 Franklin Square Dr
Rosedale, MD 21237-3901
Phone (443) 449-9965

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
I20181010000398 MD Practitioner - Nurse Practitioner 5890047401 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mep Observation Services LLC CurrentSince Sep 23, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2020 Accepting new patients
Mep Observation Services LLC CurrentSince Sep 23, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2020 Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1427564616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-449-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-449-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHURTZ",
        "first_name": "ANNELIESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R174128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.