Individual provider Active NPI

Thrisann Chaplin, CRNP

  • Family Nurse Practitioner
  • Hampstead, MD
National Provider Identifier
1578074571
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R217651 Issued in MD
Practice address
4231 N Woods TRL Ste 100
Hampstead, MD 21074-3204
Phone
(410) 374-9391
Fax
(410) 871-7967
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R217651 MD
Family Nurse Practitioner 363LF0000X R217651 MD Primary

Addresses

Primary practice location

4231 N Woods TRL Ste 100
Hampstead, MD 21074-3204

Mailing address

8 Durum CT
Owings Mills, MD 21117-4978

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
I20230208000657 MD Practitioner - Nurse Practitioner 1658743257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
89.6
Promoting interoperability
100
Improvement activities
40
Cost
66.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R217651MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Primary Care of North Carroll, LLC CurrentSince Feb 1, 2023 Accepting new patients
Park West Health Systems Incorporated Past Accepting new patients
Park West Health System Incorporated Past Accepting new patients
Park West Health System, Inc. Past Accepting new patients

Locations

4231 North Woods Trl
Ste 100
Hampstead, MD 21074
Phone (410) 374-9391

4231 North Woods Trl
Hampstead, MD 21074
Phone (410) 374-9391

Interoperability endpoints

  • Direct secure messaging: thrisann.chaplin.1@32356.direct.athenahealth.com

Organizations & group practices 4

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1578074571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DURUM CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 N WOODS TRL STE 100",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210743204",
            "telephone_number": "410-374-9391",
            "fax_number": "410-871-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPLIN",
        "first_name": "THRISANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R217651",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R217651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, MD

Sources for this page

Verify at the official NPI Registry.