Individual provider Active NPI

Sarah Maria Sampson, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1720314925
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R178976 Issued in MD
Practice address
29 S Paca St
Baltimore, MD 21201-1771
Phone
(410) 328-3725
Fax
(410) 328-0020
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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 R178976 MD Primary

Addresses

Primary practice location

29 S Paca St
Baltimore, MD 21201-1771

Mailing address

29 S Paca St
Baltimore, MD 21201-1771
Phone (410) 328-3725

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
I20100106000381 MD Practitioner - Nurse Practitioner 5193866606 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R178976MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Dec 1, 2015 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Feb 1, 2012 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Feb 1, 2012 Accepting new patients
Walnut Street Community Health Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

29 S Paca St
Baltimore, MD 21201
Phone (410) 328-2603

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1720314925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011771",
            "telephone_number": "410-328-3725",
            "fax_number": "410-328-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011771",
            "telephone_number": "410-328-3725",
            "fax_number": "410-328-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "SARAH",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R178976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.