Individual provider Active NPI

Betsy White, NP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1720565872
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R202098 Issued in MD
Practice address
5411 Old Frederick Rd Ste 18
Baltimore, MD 21229-2126
Phone
(443) 750-0222
NPI assigned
Jul 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R202098 MD Primary

Addresses

Primary practice location

5411 Old Frederick Rd Ste 18
Baltimore, MD 21229-2126

Mailing address

5411 Old Frederick Rd Ste 18
Baltimore, MD 21229-2126
Phone (443) 750-0222

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
I20191127001147 MD Practitioner - Nurse Practitioner 1456784784 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cannakush Consulting Office LLCGroup PAC ID 6305203308, 3 clinicians

Practice addresses (Care Compare)

5411 Old Frederick Rd
Suite 18
Baltimore, MD 21229-2126
Phone (443) 750-0222

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
81.34
Promoting interoperability
100
Improvement activities
40
Cost
70.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R202098MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toller Enterprises LLC CurrentSince Jan 22, 2024 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Oct 30, 2023 Accepting new patients
Cannakush Consulting Office LLC Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Toller Enterprises LLC CurrentSince Jan 22, 2024 Accepting new patients
Cannakush Consulting Office LLC CurrentSince Feb 1, 2023 Accepting new patients
Spiritual Healing CurrentSince Jan 22, 2024 Accepting new patients
Spiritual Healing CurrentSince Jan 22, 2024 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Oct 30, 2023 Accepting new patients

Locations

5411 Old Frederick Rd
Ste 18
Baltimore, MD 21229
Phone (410) 788-4800

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

100 E Pennsylvania Ave
Ste 208
Towson, MD 21286
Phone (240) 643-9501

Interoperability endpoints

  • Direct secure messaging: bwhite1031520@direct.umm.edu

Organizations & group practices 8

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": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1720565872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD STE 18",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292126",
            "telephone_number": "443-750-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD STE 18",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292126",
            "telephone_number": "443-750-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BETSY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R202098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.