Active NPI
Vicki Lynne Hyatt, NP
- Primary Care Nurse Practitioner
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R234683
- Practice address
- 602 S Atwood Rd Ste 200a
Bel Air, MD 21014-4579 - Phone
- (810) 564-7995
- NPI assigned
- Jun 2, 2015
- Last updated
- Jan 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704170772 | MI | |
| Primary Care Nurse Practitioner | 363LP2300X | R234683 | MD | Primary |
Addresses
Primary practice location
602 S Atwood Rd Ste 200a
Bel Air, MD 21014-4579
Mailing address
602 S Atwood Rd Ste 200a
Bel Air, MD 21014-4579
Phone (410) 515-6774
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138
12 Newport Dr
Forest Hill, MD 21050-1758
301 Saint Paul St
Suite 409
Baltimore, MD 21202-2102
Phone (410) 659-7041
602 S Atwood Rd
Bel Air, MD 21014-4172
Phone (410) 515-6774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R234683 | MD | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Menocal Medical Services PA | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Amd Urgent Medical Care, PLLC | Past | Accepting new patients |
Locations
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041
602 S Atwood Rd
Ste 200A
Bel Air, MD 21014
Phone (410) 515-6774
110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138
11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810
Interoperability endpoints
- vicki.hyatt.1@8042.direct.athenahealth.com
Organizations & group practices 7
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.
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- Family Medicine Physician
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- NPI 1083795918
-
- Internal Medicine Physician
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- NPI 1730664012
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Urgent Care Clinic/Center
- Clio, MI
- NPI 1184968679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1568842896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 S ATWOOD RD STE 200A",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144579",
"telephone_number": "410-515-6774",
"fax_number": "410-515-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 S ATWOOD RD STE 200A",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144579",
"telephone_number": "810-564-7995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT",
"first_name": "VICKI",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704170772",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R234683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.