Individual provider Active NPI

Kia Elliott, NP

  • Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1447733811
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R201699 Issued in MD
Practice address
110 Hospital Rd Ste 101
Prince Frederick, MD 20678-4019
Phone
(410) 535-8119
Fax
(443) 899-1038
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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 R201699 MD Primary

Addresses

Primary practice location

110 Hospital Rd Ste 101
Prince Frederick, MD 20678-4019

Mailing address

110 Hospital Rd Ste 101
Prince Frederick, MD 20678-4019
Phone (410) 414-2778

Other practice location 1

1036 Saint Nicholas Dr Unit 101
Waldorf, MD 20603-4758
Phone (410) 535-8119

Other practice location 2

10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210610001126 MD Practitioner - Nurse Practitioner 3476953639 Reassigns benefits to 2 organizations
I20211222000178 DC Practitioner - Nurse Practitioner 3476953639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calverthealth Medical Group, LLCGroup PAC ID 2163562695, 50 clinicians

Practice addresses (Care Compare)

110 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4019
Phone (410) 535-8195

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R201699MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. Current Accepting new patients
Calverthealth Medical Group, LLC Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Calverthealth Medical Group, LLC Nurse Practitioner Current Accepting new patients
Capital Women's Care, L.L.C. CurrentSince Jul 5, 2021 Accepting new patients
Calverthealth Medical Group Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2141 K St NW
Ste 808
Washington, DC 20037
Phone (202) 331-9293

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279

110 Hospital Rd
Ste 101
Prince Frederick, MD 20678
Phone (410) 535-8176

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

1036 Saint Nicholas Dr
Unit 101
Waldorf, MD 20603
Phone (240) 261-7170

1036 Saint Nicholas Dr
Waldorf, MD 20603
Phone (410) 934-0580

Organizations & group practices 6

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1447733811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-414-2778",
            "fax_number": "443-899-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-535-8119",
            "fax_number": "443-899-1038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 Saint Nicholas Dr Unit 101",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034758",
            "country_code": "US",
            "telephone_number": "410-535-8119",
            "fax_number": "443-899-1038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10440 Little Patuxent Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443648",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R201699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.