Individual provider Active NPI

Carilynn Wright Rutledge, MSN, CNM

  • Advanced Practice Midwife
  • Leonardtown, MD
National Provider Identifier
1629616156
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R130638 Issued in MD
Practice address
41680 Miss Bessie Dr Ste 102
Leonardtown, MD 20650-2963
Phone
(301) 997-1788
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R130638 MD Primary

Addresses

Primary practice location

41680 Miss Bessie Dr Ste 102
Leonardtown, MD 20650-2963

Mailing address

41680 Miss Bessie Dr Ste 102
Leonardtown, MD 20650-2963
Phone (301) 997-1788

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200321000041 MD Practitioner - Certified Nurse Midwife (CNM) 2769810902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300

41680 Miss Bessie Dr
Leonardtown, MD 20650-2906
Phone (301) 997-0055

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Maryland Women'S Healthcare, PA CurrentSince Dec 22, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2020 Accepting new patients
Medstar Medical Group II LLC PastSince Dec 22, 2019 Accepting new patients

Locations

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

41680 Miss Bessie Dr
Ste 301
Leonardtown, MD 20650
Phone (301) 997-0055

41680 Miss Bessie Dr
Ste 102
Leonardtown, MD 20650
Phone (301) 997-1788

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1629616156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR STE 102",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502963",
            "telephone_number": "301-997-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR STE 102",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502963",
            "telephone_number": "301-997-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "CARILYNN",
        "middle_name": "WRIGHT",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R130638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.