Individual provider Active NPI

Andrew B Irving, FNP-BC

  • Family Nurse Practitioner
  • Crownsville, MD
National Provider Identifier
1720854532
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R153986 Issued in MD
Practice address
43 Community PL
Crownsville, MD 21032-2034
Phone
(415) 640-9581
NPI assigned
Dec 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 R153986 MD Primary

Addresses

Primary practice location

43 Community PL
Crownsville, MD 21032-2034

Mailing address

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 535-4488

Other practice location 1

8924 Chesapeake Ave
North Beach, MD 20714-4050
Phone (410) 257-7279

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
I20240927000263 MD Practitioner - Nurse Practitioner 3870024102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert a. Pascal Youth and Family Services, Inc.Group PAC ID 6406933472, 6 clinicians
Calverthealth Medical Group, LLCGroup PAC ID 2163562695, 50 clinicians

Practice addresses (Care Compare)

43 Community PL
Crownsville, MD 21032-2034
Phone (470) 975-0067

8924 Chesapeake Ave
North Beach, MD 20714-4050
Phone (410) 257-7279

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Group, LLC Current Accepting new patients
Calverthealth Medical Group, LLC Family CurrentSince Sep 1, 2024 Accepting new patients
Robert a. Pascal Youth & Family Services, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Calverthealth Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

43 Community Pl
Crownsville, MD 21032
Phone (410) 571-4500

741 Annapolis Rd
Gambrills, MD 21054

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

Interoperability endpoints

  • Direct secure messaging: andrew.irvingpa.p2@direct.msmg.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1720854532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "410-535-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 COMMUNITY PL",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322034",
            "telephone_number": "415-640-9581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8924 Chesapeake Ave",
            "address_purpose": "LOCATION",
            "city": "North Beach",
            "state": "MD",
            "postal_code": "207144050",
            "country_code": "US",
            "telephone_number": "410-257-7279",
            "fax_number": "410-257-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVING",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-01",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R153986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crownsville, MD

Sources for this page

Verify at the official NPI Registry.