Individual provider Active NPI

Christine R Marquardt, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1669838751
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R130851 Issued in MD
Practice address
19 N Court St Ste 102
Frederick, MD 21701-5461
Phone
(240) 253-1323
Fax
(240) 253-1323
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 905830 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R130851 MD Primary

Addresses

Primary practice location

19 N Court St Ste 102
Frederick, MD 21701-5461

Mailing address

3861 Triton LN
Frederick, MD 21704-7007
Phone (240) 388-7420

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
I20260615000134 MD Practitioner - Nurse Practitioner 8224500939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 N Court St
Suite 102
Frederick, MD 21701-5461
Phone (240) 253-1323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
905830MDMDAddiction (Substance Use Disorder) Counselor
R130851MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marx Medical Inc. CurrentSince Jul 13, 2025 Accepting new patients
Marx Medical Inc CurrentSince Jun 29, 2025 Accepting new patients
Serenity Treatment Center, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Locations

19 N Court St
Ste 102
Frederick, MD 21701
Phone (240) 253-1323

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1669838751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 TRITON LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047007",
            "telephone_number": "240-388-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N COURT ST STE 102",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015461",
            "telephone_number": "240-253-1323",
            "fax_number": "240-253-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "CHRISTINE",
        "middle_name": "R",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "905830",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R130851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.