Individual provider Active NPI

Amy Jo Kilen, CRNP, RN

  • Gerontology Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1588155428
Registry record updated May 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R199562 Issued in MD
Practice address
5200 Eastern Ave Ste 2200
Baltimore, MD 21224-2744
Phone
(410) 550-0931
NPI assigned
May 26, 2018
Last updated
May 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R199562 MD Primary

Addresses

Primary practice location

5200 Eastern Ave Ste 2200
Baltimore, MD 21224-2744

Mailing address

236 S Robinson St
Baltimore, MD 21224-2214
Phone (605) 695-8967

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
I20180718001203 MD Practitioner - Nurse Practitioner 9931456258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jul 8, 2018 Accepting new patients
Johns Hopkins University CurrentSince Jul 8, 2018 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

5200 Eastern Ave
Ste 2200
Baltimore, MD 21224
Phone (410) 550-0925

5505 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0756

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184

Interoperability endpoints

  • Direct secure messaging: akilen124292@direct.hopkinsmedicine.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527292800000",
    "number": "1588155428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 S ROBINSON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242214",
            "telephone_number": "605-695-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE STE 2200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242744",
            "telephone_number": "410-550-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEN",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "CRNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R199562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.