Annelise Melissa Nentwick, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R239351 Issued in MD

Practice address

325 Hospital Dr Ste 106
Glen Burnie, MD 21061-5806

Phone

(443) 430-2998

Fax

(443) 431-8978

NPI assigned

Oct 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kinstead Provider Group, P.a.Group PAC ID 1850885104, 4 clinicians

Practice addresses (Care Compare)

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.

• Kinstead Provider Group, P.a.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1568338473

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Innovative Treatment Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
  • NPI 1568175867

  Psychiatric/Mental Health

  NPD
• Innovative Treatment Centers

  • Addiction Medicine (Family Medicine) Physician
  • Glen Burnie, MD
  • NPI 1730892035
  NPD

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1689495491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 ARROWHEAD CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023053",
            "telephone_number": "607-227-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615806",
            "telephone_number": "443-430-2998",
            "fax_number": "443-431-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENTWICK",
        "first_name": "ANNELISE",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R239351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahrzad Nejabat, OD
• Justin K Nelms
• Kristen Milio Nelms, CRNP
• Francoise Nelson, M.S., BCABA
• Mickel Neman, DMD
• Jose Parel Nepomuceno, M.D.
• David G. Neschis, M.D.
• Neuro Diagnostic Center PA
• Neurosurgical Specialty Services, LLC
• Delia Nevins, LGPC

• Psychiatric/Mental Health Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.