Individual provider Active NPI

Amy Marie Emerling, CRNP

  • Primary Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1447387592
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R156207 Issued in MD
Practice address
401 N Broadway
Room 1123
Baltimore, MD 21231-1146
Phone
(410) 502-1308
Fax
(443) 287-0108
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R156207 MD Primary

Addresses

Primary practice location

401 N Broadway
Room 1123
Baltimore, MD 21231-1146

Mailing address

918 E Pratt St
Baltimore, MD 21202-4528
Phone (410) 382-6199

Other identifiers 1

IdentifierTypeStateIssuer
012775200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070323000417 MD Practitioner - Nurse Practitioner 9537263934 Reassigns benefits to 1 organization
I20180822003659 VA Practitioner - Nurse Practitioner 9537263934 Reassigns benefits to 1 organization
I20210224000626 DC Practitioner - Nurse Practitioner 9537263934 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R156207MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jan 18, 2007 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Jan 18, 2007 Accepting new patients
Capital Palliative Care Consultants, LLC CurrentSince Jun 21, 2018 Accepting new patients
Capital Palliative Care Consultants, LLC Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

24419 Millstream Dr
Aldie, VA 20105
Phone (703) 351-2807

3180 Fairview Park Dr
Ste 500
Falls Church, VA 22042
Phone (703) 485-8949

2900 Telestar Ct
Falls Church, VA 22042
Phone (703) 538-2065

209 Gibson St NW
Ste 202
Leesburg, VA 20176
Phone (703) 396-6194

Organizations & group practices 5

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1447387592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 E PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024528",
            "telephone_number": "410-382-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BROADWAY",
            "address_2": "ROOM 1123",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311146",
            "telephone_number": "410-502-1308",
            "fax_number": "443-287-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERLING",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R156207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012775200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.