Active NPI
Babette Pennay, CRNP
- Primary Care Nurse Practitioner
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R096053
- Practice address
- 15245 Shady Grove Rd
Suite 130
Rockville, MD 20850-3222 - Phone
- (301) 527-1650
- Fax
- (301) 527-8752
- NPI assigned
- Aug 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R096053 | MD | Primary |
Addresses
Primary practice location
15245 Shady Grove Rd
Suite 130
Rockville, MD 20850-3222
Mailing address
P.O. Box 10067
Gaithersburg, MD 20898-9998
Phone (301) 527-1650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Carroll St
Salisbury, MD 21801-5422
10231 Old Ocean City Blvd
Suite 104
Berlin, MD 21811-3567
Phone (410) 629-6863
9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 912-4976
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R096053 | MD | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ravi Passi MD PC | Current | Accepting new patients | |
| Tidalhealth Atlantic, Inc. | Current | Accepting new patients | |
| Atlantic General Hospital Corporation | Current | Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| Atlantic General Hospital Corp | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
10231 Old Ocean City Blvd
Ste 104
Berlin, MD 21811
Phone (410) 629-6863
9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600
10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811
848 S Rolling Rd
Catonsville, MD 21228
Phone (301) 527-1650
15245 Shady Grove Rd
Ste 130
Rockville, MD 20850
Phone (301) 527-1650
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Berlin, MD
- NPI 1871582171
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
- Radiology Clinic/Center
- Ocean City, MD
- NPI 1043756232
-
- Community/Retail Pharmacy
- Berlin, MD
- NPI 1740963859
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Easton, MD
- NPI 1700971843
-
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
-
- Home Health Agency
- Georgetown, DE
- NPI 1417021700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1609889112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 10067",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208989998",
"telephone_number": "301-527-1650",
"fax_number": "301-527-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15245 SHADY GROVE RD",
"address_2": "SUITE 130",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503222",
"telephone_number": "301-527-1650",
"fax_number": "301-527-8752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNAY",
"first_name": "BABETTE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R096053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.