Individual provider Active NPI

Kelsey Furstenberg, CRNP

  • Family Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1558073155
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R207649 Issued in MD
Practice address
9055 Chevrolet Dr Ste 100
Ellicott City, MD 21042-4091
Phone
(410) 750-9200
Fax
(410) 750-9211
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 R207649 MD Primary

Addresses

Primary practice location

9055 Chevrolet Dr Ste 100
Ellicott City, MD 21042-4091

Mailing address

9055 Chevrolet Dr Ste 100
Ellicott City, MD 21042-4091
Phone (410) 750-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20230827000046 MD Practitioner - Nurse Practitioner 1355704149 Reassigns benefits to 2 organizations
I20240409002287 DC Practitioner - Nurse Practitioner 1355704149 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R207649MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC CurrentSince Mar 1, 2024 Accepting new patients
Plumtree Family Health Center, LLC CurrentSince Jun 25, 2023 Accepting new patients

Locations

104 Plumtree Rd
Ste 102
Bel Air, MD 21015
Phone (410) 569-4224

6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785

Interoperability endpoints

  • 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.

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1558073155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 CHEVROLET DR STE 100",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424091",
            "telephone_number": "410-750-9200",
            "fax_number": "410-750-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 CHEVROLET DR STE 100",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424091",
            "telephone_number": "410-750-9200",
            "fax_number": "410-750-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURSTENBERG",
        "first_name": "KELSEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.