Individual provider Active NPI

Tisa Massey Parsons, CRNP

  • Family Nurse Practitioner
  • Princess Anne, MD
National Provider Identifier
1528619509
Registry record updated Sep 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R153749 Issued in MD
Practice address
30434 Mount Vernon Rd
Princess Anne, MD 21853-1400
Phone
(410) 651-0350
NPI assigned
Sep 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2019

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 R153749 MD Primary

Addresses

Primary practice location

30434 Mount Vernon Rd
Princess Anne, MD 21853-1400

Mailing address

11443 Gum Point Rd
Berlin, MD 21811-3173
Phone (410) 422-0799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, ME2 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
I20191127001150 MD Practitioner - Nurse Practitioner 4183057417 Reassigns benefits to 1 organization
I20260409001658 ME Practitioner - Nurse Practitioner 4183057417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Islands Community Medical Services IncGroup PAC ID 9638088115, 6 clinicians

Practice addresses (Care Compare)

15 Medical Ctr Loop
Vinalhaven, ME 04863

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princess Anne Family Practice CurrentSince Oct 30, 2019 Accepting new patients

Locations

30434 Mount Vernon Rd
Princess Anne, MD 21853
Phone (410) 543-4705

Interoperability endpoints

  • Direct secure messaging: tparsons914148@direct.mmc.mainehealth.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1528619509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11443 GUM POINT RD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113173",
            "telephone_number": "410-422-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30434 MOUNT VERNON RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531400",
            "telephone_number": "410-651-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "TISA",
        "middle_name": "MASSEY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-22",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R153749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princess Anne, MD

Sources for this page

Verify at the official NPI Registry.