Active NPI
Michaelyn Schrock, PPCNP-BC
- Pediatric Nurse Practitioner
- Oakland, MD
National Provider Identifier
1487179388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AC003878
- Practice address
- 607 Oakland Ave
Oakland, MD 21550-3734 - Phone
- (301) 533-7060
- Fax
- (877) 766-4406
- NPI assigned
- Aug 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 81133 | WV | |
| Pediatric Nurse Practitioner | 363LP0200X | AC003878 | MD | Primary |
Addresses
Primary practice location
607 Oakland Ave
Oakland, MD 21550-3734
Mailing address
607 Oakland Ave
Oakland, MD 21550-3734
Phone (301) 533-7060
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Care Center LLC | Current | Accepting new patients | |
| Menocal Medical Services PA | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Cardinal Pediatrics PLLC | Past | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- michaelyn.schrock.1@8042.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Frederick, MD
- NPI 1083795918
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
-
- Pediatrics Physician
- Morgantown, WV
- NPI 1548272651
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1487179388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 OAKLAND AVE",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215503734",
"telephone_number": "301-533-7060",
"fax_number": "301-533-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 OAKLAND AVE",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215503734",
"telephone_number": "301-533-7060",
"fax_number": "877-766-4406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROCK",
"first_name": "MICHAELYN",
"credential": "PPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2022-03-18",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WV",
"license": "81133",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "AC003878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, MD
- Savopoulos Professional, LLC (Cornerstone Family Medicine)
- Sotiere Evan Savopoulos, M.D.
- Stephen Schaeffer, MD
- Tess Elizabeth Schafer, FNP-BC
- Nicole Rene Schriver, CRNP
- Karl Edward Schwalm, M.D.
- Lisa C Scott, PHYSICIANS ASSISTANT
- Brittany Elizabeth Shaffer, APRN, FNP-C
- Carolyn Sheaffer, CRNP
- David Ward Sheets, DMD,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.