NPIMap

Individual provider Active NPI

Mary L Horseman, CRNP

  • Nurse Practitioner
  • Easton, MD
National Provider Identifier
1598778680
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R094441 Issued in MD
Practice address
511 Idlewild Ave
Easton, MD 21601-3888
Phone
(410) 822-6005
Fax
(410) 822-9253
NPI assigned
Aug 13, 2006
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R094441 MD Primary

Addresses

Primary practice location

511 Idlewild Ave
Easton, MD 21601-3888

Mailing address

511 Idlewild Ave
Easton, MD 21601-3888
Phone (410) 822-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000765 MD Practitioner - Nurse Practitioner 3779548094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 25, 2017 Accepting new patients
St Paul Place Specialists Inc CurrentSince Apr 21, 2015 Accepting new patients
St Paul Place Specialists, Inc. CurrentSince Apr 21, 2015 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 25, 2017 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Chesapeake Cardiology Clinic, P.a. Past Accepting new patients

Locations

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

219 S Washington St
Easton, MD 21601

522 Idlewild Ave
Easton, MD 21601
Phone (410) 820-4888

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

Interoperability endpoints

  • Direct secure messaging: mhorseman483219@direct.umm.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1598778680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013888",
            "telephone_number": "410-822-6005",
            "fax_number": "410-822-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013888",
            "telephone_number": "410-822-6005",
            "fax_number": "410-822-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSEMAN",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R094441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.