Individual provider Active NPI

Kathleen Rose Hyde, CRNP

  • Family Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1700534591
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R206291 Issued in MD
Practice address
110 Hospital Rd Ste 111
Prince Frederick, MD 20678-4039
Phone
(410) 414-2778
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R206291 MD Primary

Addresses

Primary practice location

110 Hospital Rd Ste 111
Prince Frederick, MD 20678-4039

Mailing address

3381 Soper Rd
Huntingtown, MD 20639-9145
Phone (410) 693-3929

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
I20220413002817 MD Practitioner - Nurse Practitioner 7315333697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calverthealth Medical Group, LLCGroup PAC ID 2163562695, 50 clinicians

Practice addresses (Care Compare)

110 Hospital Rd
Suite 111
Prince Frederick, MD 20678-4039
Phone (410) 535-4488

Hospital & facility affiliations

  • Chesapeake - Potomac Home Health Agency, Inc. Home health agency, Hughesville, MD, CCN 217138
  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
74.54
Promoting interoperability
99
Improvement activities
40
Cost
81.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R206291MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Group, LLC Current Accepting new patients
Calverthealth Medical Group, LLC CurrentSince Apr 1, 2022 Accepting new patients
Calverthealth Medical Group, LLC Family CurrentSince Apr 1, 2022 Accepting new patients
Bay Beauty Wellness & Aesthetics CurrentSince Apr 13, 2025 Accepting new patients

Locations

8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

110 Hospital Rd
Ste 111
Prnc Frederck, MD 20678
Phone (410) 535-4488

110 Hospital Rd
Ste 203
Prnc Frederck, MD 20678
Phone (410) 414-4740

Interoperability endpoints

  • Direct secure messaging: kathleen.hyde@directcalverthospital.org

Organizations & group practices 4

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1700534591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 SOPER RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206399145",
            "telephone_number": "410-693-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 111",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784039",
            "telephone_number": "410-414-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R206291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.