Individual provider Active NPI

Joan Lytle, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1689157430
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R176154 Issued in MD
Practice address
9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958
Phone
(410) 574-1330
Fax
(410) 574-2691
NPI assigned
Sep 7, 2018
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 R176154 MD Primary

Addresses

Primary practice location

9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958

Mailing address

3601 Winterbourne Dr
Upper Marlboro, MD 20774-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221208000118 MD Practitioner - Nurse Practitioner 4789053059 Reassigns benefits to 4 organizations
I20221208000237 DC Practitioner - Nurse Practitioner 4789053059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Care Maryland LLCGroup PAC ID 4880026822, 10 clinicians

Practice addresses (Care Compare)

7520 Surratts Rd
Clinton, MD 20735-3353
Phone (201) 870-1194

85 Hospital Rd
Prince Frederick, MD 20678-4018
Phone (201) 870-1194

Merit-based Incentive Payment System (MIPS)

Final score
69.18 of 100Reported as group
Quality
80.07
Promoting interoperability
0
Improvement activities
40
Cost
67.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R176154MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Oct 1, 2025 Accepting new patients
Integrated Wound Care Maryland LLC CurrentSince Oct 1, 2022 Accepting new patients
Consonant Healing Medical Associates CurrentSince Aug 25, 2025 Accepting new patients

Locations

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

10440 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (240) 203-4457

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

85 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 535-2300

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1689157430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 WINTERBOURNE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR STE 209",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373958",
            "telephone_number": "410-574-1330",
            "fax_number": "410-574-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R176154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.