Mary Ann Dameron, FNP-BC. PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R215473 Issued in MD

Practice address

365 W Patrick St FL 205
Frederick, MD 21701-5093

Phone

(240) 446-0717

Fax

(410) 202-2107

NPI assigned

Feb 16, 2006

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Mrs. Mary Ann Dameron Professional name

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bridges Behavioral Health & Wellness

  • Community/Behavioral Health Agency
  • Centreville, MD
  • NPI 1205193737
  Medicare reassignment NPD
• Caring Hearts Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1073298261
  Medicare reassignment NPD
• Comptroller of Maryland Central Payroll Bureau

  dba Eastern Shore Hospital Center

  • Psychiatric Hospital
  • Cambridge, MD
  • NPI 1841281680
  Medicare reassignment NPD
• Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Timonium, MD
  • NPI 1174815807
  Medicare reassignment NPD
• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  DC

  Medicare reassignment NPD
• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  MD

  Medicare reassignment NPD
• Advanced Practice Psychiatric Solutions, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
  • NPI 1679053540
  Medicare reassignment
• Comptroller of Maryland Central Payroll Bureau

  • Skilled Nursing Facility
  • Salisbury, MD
  • NPI 1871577064
  NPD
• Lifebridge Community Physicians

  dba Dr Steven Dannenfelser

  • Pediatrics Physician
  • Forest Hill, MD
  • NPI 1962756189
  NPD
• Lifebridge Community Physicians Inc

  • Cardiovascular Disease Physician
  • Lutherville, MD
  • NPI 1740086149
  NPD
• State of Maryland Central Payroll Bureau

  dba Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families

  • Skilled Nursing Facility
  • Charlotte Hall, MD
  • NPI 1356032734
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1467426254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 STONELEDGE CT",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746685",
            "telephone_number": "336-601-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W PATRICK ST FL 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015093",
            "telephone_number": "240-446-0717",
            "fax_number": "410-202-2107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 Stoneledge Ct",
            "address_purpose": "LOCATION",
            "city": "New Market",
            "state": "MD",
            "postal_code": "217746685",
            "country_code": "US",
            "telephone_number": "240-446-0717",
            "fax_number": "410-202-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMERON",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "FNP-BC. PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2023-11-30",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001349",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R215473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2632275",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003805",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "83-00153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DAMERON",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "CRNP, FNP, PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amelia Rae Dahl, LMSW
• Whitney R Dahlberg, LGPAT
• Danielle Daines, LCSW-C
• Janet M Dakers-Bidle, CRNP
• Edward Calabro Dalkiewicz
• Vlad Alexandru Damian, DDS
• Sherwin Danaie, MD
• Enna Dangol
• Daniel Hayes, D.C., P.C.
• Diamond Daniel, P.A.-C

• Psychiatric/Mental Health Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.