Individual provider Active NPI

Ruth Elaine Reece, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1720043359
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R187181 Issued in MD
Practice address
631 Cherry Hill Road
Baltimore, MD 21225
Phone
(410) 354-2000
Fax
(410) 354-3674
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R187181 MD Primary
Family Nurse Practitioner 363LF0000X UP004761B PA

Addresses

Primary practice location

631 Cherry Hill Road
Baltimore, MD 21225

Mailing address

631 Cherry Hill Road
Baltimore, MD 21225
Phone (410) 354-2000

Other identifiers 2

IdentifierTypeStateIssuer
019154460001MedicaidPA
0019154460001MedicaidPA

Other names 1

  • Ms. Ruth Elaine Johnson Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20170706000079 DC Practitioner - Nurse Practitioner 5193736197 Reassigns benefits to 1 organization
I20170706000124 MD Practitioner - Nurse Practitioner 5193736197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11002 Veirs Mill Rd
Suite 700
Silver Spring, MD 20902-5922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UP004761BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC CurrentSince Jul 1, 2019 Accepting new patients
MNR Industries, LLC Current Accepting new patients
McLmhp Inc. CurrentSince Jun 15, 2020 Accepting new patients
Montgomery County Language Minority Health Project Inc. Current Accepting new patients
MNR Industries, LLC CurrentSince Jul 1, 2019 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Jul 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

18111 Prince Philip Dr
Ste 312
Olney, MD 20832
Phone (301) 260-1073

8000 Loch Raven Blvd
Towson, MD 21286
Phone (410) 616-9027

11002 Veirs Mill Rd
Ste 700
Wheaton, MD 20902
Phone (301) 962-6173

Organizations & group practices 10

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1720043359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CHERRY HILL ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21225",
            "telephone_number": "410-354-2000",
            "fax_number": "410-354-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CHERRY HILL ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21225",
            "telephone_number": "410-354-2000",
            "fax_number": "410-354-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "RUTH",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187181",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP004761B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019154460001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019154460001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "JOHNSON HALL",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.