Individual provider Active NPI

Candice Korolevich, CRNP

  • Family Nurse Practitioner
  • Towson, MD
National Provider Identifier
1497296271
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R213327 Issued in MD
Practice address
515 Fairmount Ave
Towson, MD 21286
Phone
(410) 296-1000
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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 R213327 MD Primary

Addresses

Primary practice location

515 Fairmount Ave
Towson, MD 21286

Mailing address

6146 Baldridge Circle
Frederick, MD 21701
Phone (240) 566-2597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20170501000515 MD Practitioner - Nurse Practitioner 1456638477 Reassigns benefits to 4 organizations
I20170501000592 DC Practitioner - Nurse Practitioner 1456638477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Medical Services PCGroup PAC ID 1355863952, 33 clinicians

Practice addresses (Care Compare)

1300 I St NW
Suite 400E
Washington, DC 20005-3318
Phone (888) 964-6681

6700 Alexander Bell Dr
Suite 200
Columbia, MD 21046-2105
Phone (888) 964-6681

Hospital & facility affiliations

  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R213327MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Cardiovascular Institute LLC CurrentSince Jun 1, 2025 Accepting new patients
Sibte a. Kazmi MD LLC CurrentSince Jan 2, 2020 Accepting new patients
Washington Cardiovascular Institute LLC CurrentSince Jun 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2041 Martin Luther King Jr Ave SE
Ste 103
Washington, DC 20020
Phone (202) 889-6020

351 W Camden St
Fl 201
Baltimore, MD 21201
Phone (410) 541-7800

814 Toll House Ave
Frederick, MD 21701
Phone (301) 662-8310

75 Thomas Johnson Dr
Ste I
Frederick, MD 21702
Phone (301) 378-0608

7610 Carroll Ave
Ste 100
Takoma Park, MD 20912

Interoperability endpoints

  • Direct secure messaging: candice.korolevich.1@10710.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20487/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1497296271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6146 BALDRIDGE CIRCLE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "240-566-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-296-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROLEVICH",
        "first_name": "CANDICE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R213327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.