Individual provider Active NPI

Michaelyn Schrock, PPCNP-BC

  • Pediatric Nurse Practitioner
  • Oakland, MD
National Provider Identifier
1487179388
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AC003878 Issued in MD
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

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115000044 MD Practitioner - Nurse Practitioner 1153688585 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Aug 3, 2022 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

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

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

Sources for this page

Verify at the official NPI Registry.