Individual provider Active NPI

Lucinda Ruth Everett, CRNP

  • Family Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1710374491
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R094922 Issued in MD
Practice address
912 Seton Dr
Cumberland, MD 21502-1818
Phone
(301) 722-3111
Fax
(301) 722-5135
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 R094922 MD Primary

Addresses

Primary practice location

912 Seton Dr
Cumberland, MD 21502-1818

Mailing address

912 Seton Dr
Cumberland, MD 21502-1818
Phone (240) 964-8921

Other identifiers 1

IdentifierTypeStateIssuer
R094922OtherMDMARYLAND STATE 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
I20150813011828 MD Practitioner - Nurse Practitioner 7113232521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R094922MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Corporation CurrentSince Dec 1, 2016 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Dec 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients

Locations

12502 Willowbrook Rd
Ste 330
Cumberland, MD 21502
Phone (240) 964-8740

912 Seton Dr
Cumberland, MD 21502
Phone (301) 722-3111

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

Organizations & group practices 5

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1710374491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021818",
            "telephone_number": "240-964-8921",
            "fax_number": "240-964-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021818",
            "telephone_number": "301-722-3111",
            "fax_number": "301-722-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "LUCINDA",
        "middle_name": "RUTH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R094922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE LICENSE",
            "identifier": "R094922",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.