Gregory Dukes, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R114544 Issued in MD

Practice address

933 S Talbot St Ste 4
St Michaels, MD 21663-2605

Phone

(410) 745-0200

Fax

(833) 908-2281

NPI assigned

Dec 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Denton, MD
  • NPI 1356388599

  MD

  Medicare reassignment NPD
• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Federalsburg, MD
  • NPI 1306678537
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1669986493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 S TALBOT ST STE 4",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "216632605",
            "telephone_number": "410-745-0200",
            "fax_number": "339-082-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S TALBOT ST STE 4",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "216632605",
            "telephone_number": "410-745-0200",
            "fax_number": "833-908-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "GREGORY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-01",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R114544",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R114544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choptank Community Health System, Inc.
• Choptank Community Health System, Inc.
• Kelly M Cooper
• Deborah C. Gootee CRNP-PMH, LLC
• Deck LLC
• Carrie Jean Ettinger, CNS
• Stephanie Rejeana Faulkner
• Stacy Ann Fox, PT
• Susan Marie Hagelman, CRNP PMHNP-BC
• Douglas Jon Hamsher, PA-C

• All providers in St Michaels, MD
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.