Individual provider Active NPI

Kathryn Jean Malenfant, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1689983090
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R148905 Issued in MD
Practice address
103 N Main St
Bel Air, MD 21014-3539
Phone
(888) 333-1345
NPI assigned
Oct 3, 2010
Last updated
Feb 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R148905 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R148905 MD Primary

Addresses

Primary practice location

103 N Main St
Bel Air, MD 21014-3539

Mailing address

1103 E Viking CT
Abingdon, MD 21009-1049
Phone (410) 676-2993

Other practice location 1

5230 Campbell Blvd
Nottingham, MD 21236-4983
Phone (410) 933-9632

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
I20110401000770 MD Practitioner - Nurse Practitioner 1850575671 Reassigns benefits to 2 organizations
I20110613000794 DC Practitioner - Nurse Practitioner 1850575671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Wellness HealthcareGroup PAC ID 1052688389, 9 clinicians

Practice addresses (Care Compare)

2209 Commerce Rd
Suite 1
Forest Hill, MD 21050-2539
Phone (888) 333-1345

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R148905MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Nov 1, 2015 Accepting new patients
American Psychiatric Care CurrentSince Jun 1, 2025 Accepting new patients
American Psychiatric Care Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Premier Wellness Healthcare CurrentSince Mar 20, 2025 Accepting new patients
Premier Wellness Healthcare CurrentSince Feb 21, 2025 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Nov 1, 2015 Accepting new patients
MNR Industries LLC Past Accepting new patients
Premier Wellness Healthcare Past Accepting new patients

Locations

103 N Main St
Bel Air, MD 21014
Phone (888) 333-1345

103 N Main St
#A
Bel Air, MD 21014
Phone (888) 333-1345

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

2209 Commerce Rd
Ste 1
Forest Hill, MD 21050
Phone (443) 876-2040

11886 Healing Way
Ste 504
Silver Spring, MD 20904
Phone (410) 670-3076

14631 Route 29
Ste 110
Centreville, VA 20121

Organizations & group practices 10

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": "1286064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1689983090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E VIKING CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091049",
            "telephone_number": "410-676-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143539",
            "telephone_number": "888-333-1345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Campbell Blvd",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212364983",
            "country_code": "US",
            "telephone_number": "410-933-9632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALENFANT",
        "first_name": "KATHRYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-03",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R148905",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R148905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.