Individual provider Active NPI

Kristen Renee Farrell, CRNP

  • Family Nurse Practitioner
  • Easton, MD
National Provider Identifier
1437823150
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R215374 Issued in MD
Practice address
307 Glenwood Ave
Easton, MD 21601-4104
Phone
(443) 496-3201
Fax
(833) 914-0414
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 R215374 MD Primary

Addresses

Primary practice location

307 Glenwood Ave
Easton, MD 21601-4104

Mailing address

307 Glenwood Ave
Easton, MD 21601-4104
Phone (443) 496-3201

Other practice location 1

8695 Commerce Dr Ste 5
Easton, MD 21601-7485
Phone (410) 739-8475

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
I20210920000118 MD Practitioner - Nurse Practitioner 4981001930 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Aug 7, 2023 Accepting new patients
Choptank Community Health System Inc CurrentSince Aug 7, 2023 Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

Interoperability endpoints

  • Direct secure messaging: kristen.farrell.1@20853.direct.athenahealth.com

Organizations & group practices 2

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1437823150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GLENWOOD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014104",
            "telephone_number": "443-496-3201",
            "fax_number": "833-914-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GLENWOOD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014104",
            "telephone_number": "443-496-3201",
            "fax_number": "833-914-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8695 Commerce Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216017485",
            "country_code": "US",
            "telephone_number": "410-739-8475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R215374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.