Individual provider Active NPI

Catherine Tierney, CRNP

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1699127936
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R213930 Issued in MD
Practice address
12111 Darnestown Rd
Gaithersburg, MD 20878-3211
Phone
(301) 926-3020
Fax
(215) 829-5855
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1023485 DC
Family Nurse Practitioner 363LF0000X 0024184998 VA
Family Nurse Practitioner 363LF0000X R213930 MD Primary

Addresses

Primary practice location

12111 Darnestown Rd
Gaithersburg, MD 20878-3211

Mailing address

12111 Darnestown Rd
Gaithersburg, MD 20878-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161128002472 DC Practitioner - Nurse Practitioner 4183903669 Reassigns benefits to 2 organizations
I20190503000278 PA Practitioner - Nurse Practitioner 4183903669 Reassigns benefits to 1 organization
I20221123000634 MD Practitioner - Nurse Practitioner 4183903669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

3007 Tilden St NE
Suite 5N
Washington, DC 20008-3030

3007 Tilden St NW
Washington, DC 20008-3030

3305 N Leisure World Blvd
Medstar Health at Leisure World BLV
Silver Spring, MD 20906-1367
Phone (301) 598-1590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1023485DCMDFamily Nurse Practitioner
R213930MDMDFamily Nurse Practitioner
0024184998VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Oct 1, 2022 Accepting new patients
Medstar Urgent Care LLC CurrentSince Oct 1, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Mar 18, 2019 Accepting new patients
Medstar Urgent Care LLC CurrentSince Oct 1, 2022 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
University of Penn-Medical Group CurrentSince Mar 18, 2019 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

12111 Darnestown Rd
Gaithersburg, MD 20878
Phone (301) 926-3020

6401 America Blvd
Hyattsville, MD 20782
Phone (301) 209-5480

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

800 Walnut St
Fl 19
Philadelphia, PA 19107
Phone (215) 829-3409

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1699127936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12111 DARNESTOWN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208783211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12111 DARNESTOWN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208783211",
            "telephone_number": "301-926-3020",
            "fax_number": "215-829-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "CATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1023485",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184998",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R213930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.