Individual provider Active NPI

Amanda C Harbert, CRNP

  • Acute Care Nurse Practitioner
  • Westminster, MD
National Provider Identifier
1508011354
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R230071 Issued in MD
Practice address
193 Stoner Ave Ste 300
Westminster, MD 21157-5588
Phone
(410) 871-2204
Fax
(410) 871-2207
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 274132 MA
Acute Care Nurse Practitioner 363LA2100X R230071 MD Primary

Addresses

Primary practice location

193 Stoner Ave Ste 300
Westminster, MD 21157-5588

Mailing address

193 Stoner Ave Ste 300
Westminster, MD 21157-5588
Phone (410) 871-2204

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
I20180514002832 MD Practitioner - Nurse Practitioner 0446313183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

187 Thomas Johnson Dr
Frederick, MD 21702-4503

193 Stoner Ave
Suite 300
Westminster, MD 21157-5588
Phone (410) 871-9032

Hospital & facility affiliations

  • Carroll Hospital Center Hospital, Westminster, MD, CCN 210033

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Health Group, LLC CurrentSince Apr 2, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

193 Stoner Ave
Ste 300
Westminster, MD 21157
Phone (410) 848-4664

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

193 Stoner Ave
Ste 320
Westminster, MD 21157
Phone (410) 871-2204

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.

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": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1508011354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 STONER AVE STE 300",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575588",
            "telephone_number": "410-871-2204",
            "fax_number": "410-871-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 STONER AVE STE 300",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575588",
            "telephone_number": "410-871-2204",
            "fax_number": "410-871-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBERT",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "274132",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R230071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.