Individual provider Active NPI

Kathy K Bell, CRNP

  • Women's Health Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1508841438
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R083590 Issued in MD
Practice address
1130 Professional CT
Hagerstown, MD 21740-5852
Phone
(301) 791-8104
NPI assigned
Dec 14, 2005
Last updated
May 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R083590 MD Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R083590 MD

Addresses

Primary practice location

1130 Professional CT
Hagerstown, MD 21740-5852

Mailing address

11110 Medical Campus Rd Ste 249
Hagerstown, MD 21742-6756
Phone (301) 714-4100

Other practice location 1

19650 Club House Rd
Gaithersburg, MD 20886
Phone (301) 208-1300

Other practice location 2

11110 Medical Campus Rd Ste 249
Hagerstown, MD 21742-6756
Phone (301) 714-4100

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
I20080227000414 MD Practitioner - Nurse Practitioner 6608950738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1130 Professional CT
Hagerstown, MD 21740-5852
Phone (240) 313-9650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R083590MDMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Practices of Antietam, LLC CurrentSince May 8, 2019 Accepting new patients
Medical Practices of Antietam LLC CurrentSince May 8, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11110 Medical Campus Rd
Ste 249
Hagerstown, MD 21742
Phone (301) 665-9098

1130 Professional Ct
Hagerstown, MD 21740
Phone (301) 791-5555

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1508841438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 249",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426756",
            "telephone_number": "301-714-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PROFESSIONAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405852",
            "telephone_number": "301-791-8104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19650 Club House Rd",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "20886",
            "country_code": "US",
            "telephone_number": "301-208-1300",
            "fax_number": "240-690-4962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11110 Medical Campus Rd Ste 249",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426756",
            "country_code": "US",
            "telephone_number": "301-714-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "KATHY",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R083590",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R083590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.