Individual provider Active NPI

Kortni Pedlow Sorbello, CRNP

  • Family Nurse Practitioner
  • Aberdeen, MD
National Provider Identifier
1467892323
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R183969 Issued in MD
Practice address
998 Hospitality Way
Suite 102
Aberdeen, MD 21001-1762
Phone
(410) 297-9500
Fax
(410) 297-9016
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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 R183969 MD Primary

Addresses

Primary practice location

998 Hospitality Way
Suite 102
Aberdeen, MD 21001-1762

Mailing address

998 Hospitality Way
Suite 102
Aberdeen, MD 21001-1762
Phone (410) 297-9500

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
I20140728001490 MD Practitioner - Nurse Practitioner 6406072552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

301 Saint Paul St
Suite 409
Baltimore, MD 21202-2102
Phone (410) 659-7041

998 Hospitality Way
Suite 102
Aberdeen, MD 21001-1757
Phone (410) 297-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R183969MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 28, 2016 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 28, 2016 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

998 Hospitality Way
Ste 102
Aberdeen, MD 21001
Phone (410) 297-6785

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kortni.sorbello.1@8042.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1467892323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 HOSPITALITY WAY",
            "address_2": "SUITE 102",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011762",
            "telephone_number": "410-297-9500",
            "fax_number": "410-297-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 HOSPITALITY WAY",
            "address_2": "SUITE 102",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011762",
            "telephone_number": "410-297-9500",
            "fax_number": "410-297-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORBELLO",
        "first_name": "KORTNI",
        "middle_name": "PEDLOW",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R183969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.