Individual provider Active NPI

Cynthia Diane Nash, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1699273672
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R199985 Issued in MD
Practice address
975 Solomons Island Rd
Prince Frederick, MD 20678-3917
Phone
(410) 535-5400
Fax
(424) 238-1836
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R199985 MD Primary

Addresses

Primary practice location

975 Solomons Island Rd
Prince Frederick, MD 20678-3917

Mailing address

PO Box 1158
Prince Frederick, MD 20678-1158
Phone (410) 535-5400

Other identifiers 2

IdentifierTypeStateIssuer
267322300MedicaidMD
R199985OtherMDMD NURSING LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230227001906 MD Practitioner - Nurse Practitioner 4880067636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calvert County Health DepartmentGroup PAC ID 7214188366, 19 clinicians

Practice addresses (Care Compare)

975 Solomons Island Rd N
Suite 119
Prince Frederick, MD 20678-0980
Phone 4105355400329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199985MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert County Health Department CurrentSince Feb 15, 2023 Accepting new patients
Calvert County Health Department Current Accepting new patients
Calvert County Health Department CurrentSince Feb 15, 2023 Accepting new patients

Locations

11845 Hg Trueman Rd
Lusby, MD 20657
Phone (410) 326-6344

975 Solomons Island Rd N
Ste 119
Prnc Frederck, MD 20678
Phone (410) 535-5400

975 Solomons Island Rd N
Prnc Frederck, MD 20678
Phone (410) 535-5400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1699273672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1158",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206781158",
            "telephone_number": "410-535-5400",
            "fax_number": "424-238-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SOLOMONS ISLAND RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783917",
            "telephone_number": "410-535-5400",
            "fax_number": "424-238-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "CYNTHIA",
        "middle_name": "DIANE",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R199985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267322300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD NURSING LICENSE",
            "identifier": "R199985",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.