Ellen Reilley Farrell, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R086637 Issued in MD

Practice address

4579 Willows Rd
Chesapeake Beach, MD 20732-4217

Phone

(443) 271-0688

Fax

(443) 271-0688

NPI assigned

Dec 5, 2006

Last updated

Sep 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Levindale Hebrew Geriatric Center and Hospital Hospital, Baltimore, MD, CCN 210064
• Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

Merit-based Incentive Payment System (MIPS)

Final score

83.23 of 100Reported as group

Quality

60.26

Promoting interoperability

100

Improvement activities

40

Cost

76.75

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Timonium, MD
  • NPI 1174815807
  Medicare reassignment Care Compare group NPD
• Gericalls LLC

  • Gerontology Nurse Practitioner
  • Woodbine, MD
  • NPI 1649301292
  Authorized official Same address or phone
• Lifebridge Community Physicians Inc

  • Cardiovascular Disease Physician
  • Lutherville, MD
  • NPI 1740086149
  NPD
• Lifebridge Community Physicians, Inc.

  dba Dr. Usman Waheed

  • Surgery Physician
  • Randallstown, MD
  • NPI 1336684505
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Levindale Hebrew Geriatric Center & Hospital Inc

  • Chronic Disease Hospital
  • Baltimore, MD
  • NPI 1598740821
  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  dba Grace Medical Center, A Sinai Hospital Facility

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1487325874
  Care Compare affiliation

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1518025824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 WILLOWS RD",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207324217",
            "telephone_number": "443-271-0688",
            "fax_number": "443-271-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 WILLOWS RD",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207324217",
            "telephone_number": "443-271-0688",
            "fax_number": "443-271-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ELLEN",
        "middle_name": "REILLEY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R086637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404250600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CRK, LLC. (Elite Care Physical Therapy at Chesapeake Beach)
• Carlie Renee Dahlstedt-Henderson, RN, BSN
• Eat Talk Live LLC
• Edenrx Pharmacy LLC
• Eminecare, Inc.
• Krystal Federici, PT
• Flourish Nutrition Therapy & Wellness
• Jamia Michelle Furbush, MSW, LCSW-C
• Tayra Ludith Garcia, LMSW
• Nimat Gawhar

• Nurse Practitioner in Chesapeake Beach, MD
• Providers in Chesapeake Beach, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.