Mary Anne Walker, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R063517 Issued in MD

Practice address

106 Milford St.
Suite 504B
Salisbury, MD 21804-6958

Phone

(410) 546-5954

Fax

(410) 219-3038

NPI assigned

Sep 26, 2005

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspiration Health Services LLCGroup PAC ID 1153665161, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inspiration Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fruitland, MD
  • NPI 1992287411
  Medicare reassignment Care Compare group NPD
• Inspiration Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Crisfield, MD
  • NPI 1720834658
  NPD (past)
• Mahesh Moondra, MD, PA

  • Internal Medicine Physician
  • Salisbury, MD
  • NPI 1861499634
  NPD (past)
• Maryland Addictions & Psych Inc

  • Community/Behavioral Health Agency
  • Cambridge, MD
  • NPI 1083810774
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1699761619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST",
            "address_2": "SUITE 504B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046953",
            "telephone_number": "410-546-5954",
            "fax_number": "410-219-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST.",
            "address_2": "SUITE 504B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046958",
            "telephone_number": "410-546-5954",
            "fax_number": "410-219-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R063517",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R063517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774800100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #12130)
• Walgreen Co (Walgreens #09927)
• Walgreen Co. (Walgreens #9927)
• Walgreen Co. (Walgreens #12130)
• David T Walker, MD
• Stacey Renee Walker, LGSW
• Brandi Wallace, HAIR LOSS SPECIALIST
• Karen Ashley Walls, LMSW
• Amy D Walsh, M.D.
• Mark David Walsh, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Salisbury, MD
• Providers in Salisbury, 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 Mar 23, 2021; 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.