Individual provider Active NPI

Kelsey Rosen, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Easton, MD
National Provider Identifier
1568831758
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R206225 Issued in MD
Practice address
500 Cadmus LN Ste 205
Easton, MD 21601-4094
Phone
(410) 822-4553
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X R206225 MD Primary

Addresses

Primary practice location

500 Cadmus LN Ste 205
Easton, MD 21601-4094

Mailing address

500 Cadmus LN Ste 205
Easton, MD 21601-4094
Phone (410) 822-4553

Other practice location 1

219 S Washington St Ste 205
Easton, MD 21601-2913
Phone (410) 822-1000

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
I20200625000742 MD Practitioner - Nurse Practitioner 2163783291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umms Ambulatory Care LLCGroup PAC ID 8426461427, 53 clinicians
University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Practice addresses (Care Compare)

1730 Merritt Blvd
Dundalk, MD 21222-3212
Phone (410) 650-4730

500 Cadmus LN
Suite 205
Easton, MD 21601-4094
Phone (410) 822-1000

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R206225MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 22, 2020 Accepting new patients
Umms Ambulatory Care LLC Single Specialty Current Accepting new patients
Umms Ambulatory Care LLC CurrentSince Mar 18, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. Single Specialty CurrentSince Jun 22, 2020 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Mar 18, 2021 Accepting new patients

Locations

744 S Philadelphia Blvd
Ste B
Aberdeen, MD 21001
Phone (443) 345-2650

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

8 Denton Plz
#1
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

219 S Washington St
Easton, MD 21601

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

219 S Washington St
Ste 205
Easton, MD 21601

500 Cadmus Ln
Ste 205
Easton, MD 21601
Phone (410) 822-4553

2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

14237 Jarrettsville Pike
Phoenix, MD 21131
Phone (410) 650-4734

Interoperability endpoints

  • Direct secure messaging: krosen683032@direct.umm.edu

Organizations & group practices 5

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 4

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1568831758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CADMUS LN STE 205",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014094",
            "telephone_number": "410-822-4553",
            "fax_number": "410-770-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CADMUS LN STE 205",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014094",
            "telephone_number": "410-822-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 S Washington St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216012913",
            "country_code": "US",
            "telephone_number": "410-822-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "KELSEY",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R206225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.