Active NPI
Kristen R McGaha, NP
- Psychiatric/Mental Health Nurse Practitioner
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R130712
- Practice address
- 103 N Main St
Bel Air, MD 21014-3539 - Phone
- (888) 333-1345
- NPI assigned
- Nov 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R130712 | MD | Primary |
Addresses
Primary practice location
103 N Main St
Bel Air, MD 21014-3539
Mailing address
103 N Main St
Bel Air, MD 21014-3539
Other practice location 1
2827 Smith Ave
Baltimore, MD 21209-1426
Phone (410) 483-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130118000107 | NC | Practitioner - Nurse Practitioner | 4082867387 | Reassigns benefits to 1 organization |
| I20180820003439 | MD | Practitioner - Nurse Practitioner | 4082867387 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Premier Wellness Healthcare
Practice addresses (Care Compare)
2209 Commerce Rd
Suite 1
Forest Hill, MD 21050-2539
Phone (888) 333-1345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R130712 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Spine, Pain and Rehabilitation PLLC | Current | Accepting new patients | |
| Premier Wellness Healthcare | Current | Accepting new patients | |
| Small Point Urgent Care, P.C. | Current | Accepting new patients | |
| Premier Wellness Healthcare | Current | Accepting new patients | |
| Ez Primed LLC | Past | Accepting new patients | |
| Premier Wellness Healthcare | Past | Accepting new patients |
Locations
2827 Smith Ave
Baltimore, MD 21209
Phone (410) 419-9984
103 N Main St
#A
Bel Air, MD 21014
Phone (888) 333-1345
103 N Main St
Bel Air, MD 21014
Phone (888) 333-1345
2209 Commerce Rd
Ste 1
Forest Hill, MD 21050
2219 York Rd
Ste 102
Timonium, MD 21093
Phone (410) 453-0002
900 Cox Rd
Ste A
Gastonia, NC 28054
Phone (704) 864-3300
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.
-
- Physical Medicine & Rehabilitation Physician
- Gastonia, NC
- NPI 1134185184
NC
-
- Mental Health Counselor
- Bel Air, MD
- NPI 1336948728
-
- Clinical Psychologist
- Forest Hill, MD
- NPI 1376087635
-
- Internal Medicine Physician
- Timonium, MD
- NPI 1619614724
-
- Mental Health Counselor
- Fawn Grove, PA
- NPI 1922554401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1477898591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N MAIN ST",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N MAIN ST",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143539",
"telephone_number": "888-333-1345"
}
],
"practiceLocations": [
{
"address_1": "2827 Smith Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212091426",
"country_code": "US",
"telephone_number": "410-483-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGAHA",
"first_name": "KRISTEN",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-29",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R130712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.