Individual provider Active NPI

Brooke Nicole Stinebaugh, CRNP

  • Family Nurse Practitioner
  • Aberdeen, MD
National Provider Identifier
1629850748
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R225613 Issued in MD
Practice address
9 Aberdeen Shopping PLZ
Aberdeen, MD 21001-2247
Phone
(410) 272-8844
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R225613 MD Primary

Addresses

Primary practice location

9 Aberdeen Shopping PLZ
Aberdeen, MD 21001-2247

Mailing address

214 Leastone LN
Abingdon, MD 21009-3105
Phone (443) 417-6584

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
I20231207002175 MD Practitioner - Nurse Practitioner 5698124279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Mrowiec MD LLCGroup PAC ID 6901866268, 6 clinicians

Practice addresses (Care Compare)

9 Aberdeen Shopping PLZ
Aberdeen, MD 21001-2247
Phone (410) 272-8844

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Mrowiec MD LLC CurrentSince Nov 13, 2023 Accepting new patients

Locations

9 Aberdeen Shopping Plz
Aberdeen, MD 21001
Phone (410) 272-8844

Organizations & group practices 1

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1629850748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LEASTONE LN",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210093105",
            "telephone_number": "443-417-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ABERDEEN SHOPPING PLZ",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012247",
            "telephone_number": "410-272-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINEBAUGH",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R225613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.