Individual provider Active NPI

Kayana Mesidor

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1497619225
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R274984 Issued in MD
Practice address
5999 Harpers Farm Rd Ste W250
Columbia, MD 21044-3017
Phone
(410) 772-8822
Fax
(410) 772-9274
NPI assigned
Dec 15, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 R274984 MD Primary

Addresses

Primary practice location

5999 Harpers Farm Rd Ste W250
Columbia, MD 21044-3017

Mailing address

5999 Harpers Farm Rd Ste W250
Columbia, MD 21044-3017
Phone (410) 772-8822

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
I20260103510172 MD Practitioner - Nurse Practitioner 3173019767 Reassigns benefits to 1 organization
I20260204004190 DC Practitioner - Nurse Practitioner 3173019767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

14500 Laurel PL
Laurel, MD 20707-4961
Phone (301) 497-5454

5999 Harpers Farm Rd
Suite W250
Columbia, MD 21044-3017
Phone (410) 772-8822

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R274984MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Nephrology Associates PA CurrentSince Jan 2, 2026 Accepting new patients
Renal Treatment Centers - Mid-Atlantic, Inc. PastSince Aug 25, 2024 Accepting new patients
Mid-Atlantic Nephrology Associates PA PastSince Oct 5, 2025 Accepting new patients

Locations

516 N Rolling Rd
Ste 304
Catonsville, MD 21228
Phone (410) 744-0890

5999 Harpers Farm Rd
Ste W250
Columbia, MD 21044
Phone (410) 772-8822

6934 Aviation Blvd
Ste F
Glen Burnie, MD 21061
Phone (410) 760-3588

1589 Sulphur Spring Rd
Ste 109
Halethorpe, MD 21227
Phone (410) 536-5400

14500 Laurel Pl
Laurel, MD 20707
Phone (301) 497-5454

14631 Laurel Bowie Rd
Ste 100
Laurel, MD 20707
Phone (301) 725-3559

7140 Contee Rd
Ste 1100
Laurel, MD 20707
Phone (202) 853-0207

25 Crossroads Dr
Ste 205
Owings Mills, MD 21117
Phone (410) 602-7792

8501 La Salle Rd
Ste 103
Towson, MD 21286
Phone (410) 532-1640

Organizations & group practices 3

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": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1497619225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 HARPERS FARM RD STE W250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443017",
            "telephone_number": "410-772-8822",
            "fax_number": "410-772-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 HARPERS FARM RD STE W250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443017",
            "telephone_number": "410-772-8822",
            "fax_number": "410-772-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIDOR",
        "first_name": "KAYANA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R274984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.