Individual provider Active NPI

Elaine Marie Crain, CRNP

  • Family Nurse Practitioner
  • Severna Park, MD
National Provider Identifier
1649385444
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R124009 Issued in MD
Practice address
31 Robinson Rd
Severna Park, MD 21146-2841
Phone
(410) 544-5900
Fax
(410) 544-5939
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R124009 MD
Family Nurse Practitioner 363LF0000X R124009 MD Primary

Addresses

Primary practice location

31 Robinson Rd
Severna Park, MD 21146-2841

Mailing address

31 Robinson Rd
Severna Park, MD 21146-2841
Phone (410) 544-5900

Other identifiers 2

IdentifierTypeStateIssuer
F240 0003OtherDCBLUE CROSS BLUE SHIELD
61911702OtherMDBLUE CROSS BLUE SHIELD

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
I20050502000559 MD Practitioner - Nurse Practitioner 5890734511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Annapolis Family Medicine LLCGroup PAC ID 7416186838, 7 clinicians

Practice addresses (Care Compare)

104 Ridgely Ave
Suite 302
Annapolis, MD 21401-1441
Phone (410) 280-9500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Katz MD PA CurrentSince Feb 6, 2002 Accepting new patients
Annapolis Family Medicine LLC CurrentSince Mar 26, 2024 Accepting new patients

Locations

104 Ridgely Ave
Ste 302
Annapolis, MD 21401
Phone (410) 280-9500

703 Giddings Ave
Ste M
Annapolis, MD 21401
Phone (410) 224-7795

31 Robinson Rd
Severna Park, MD 21146
Phone (410) 544-5900

Organizations & group practices 2

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1649385444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROBINSON RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462841",
            "telephone_number": "410-544-5900",
            "fax_number": "410-544-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROBINSON RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462841",
            "telephone_number": "410-544-5900",
            "fax_number": "410-544-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R124009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R124009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "F240 0003",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "61911702",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.