Individual provider Active NPI

Samantha Jane Fine, FNP-C

  • Family Nurse Practitioner
  • Catonsville, MD
National Provider Identifier
1528811163
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC006404 Issued in MD
Practice address
6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923
Phone
(667) 234-2100
NPI assigned
Apr 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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 AC006404 MD Primary

Addresses

Primary practice location

6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923

Mailing address

11 Halston CT
Baltimore, MD 21209-2029
Phone (410) 608-9922

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
I20240621001479 MD Practitioner - Nurse Practitioner 9032652854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

6501 Baltimore National Pike
Suite D
Catonsville, MD 21228-3923
Phone (667) 234-2100

Hospital & facility affiliations

  • Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC006404MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

6501 Baltimore National Pike
Ste D
Catonsville, MD 21228
Phone (667) 234-2100

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

3585 Washington Blvd
Halethorpe, MD 21227

Organizations & group practices 1

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": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1528811163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HALSTON CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092029",
            "telephone_number": "410-608-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 BALTIMORE NATIONAL PIKE STE D",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283923",
            "telephone_number": "667-234-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "SAMANTHA",
        "middle_name": "JANE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC006404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.