Individual provider Active NPI

Kimberly Worsley, CRNP

  • Family Nurse Practitioner
  • Eldersburg, MD
National Provider Identifier
1720891583
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R187125 Issued in MD
Practice address
717 Placidville Way
Eldersburg, MD 21784-8690
Phone
(443) 812-6222
NPI assigned
Jan 27, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 R187125 MD Primary

Addresses

Primary practice location

717 Placidville Way
Eldersburg, MD 21784-8690

Mailing address

717 Placidville Way
Eldersburg, MD 21784-8690
Phone (443) 812-6222

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
I20260122004108 MD Practitioner - Nurse Practitioner 7911484712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

814 N Houcksville Rd
Hampstead, MD 21074-1882
Phone (410) 239-0406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R187125MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Menocal Medical Services PA Current Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 13, 2025 Accepting new patients
Privia Care Center LLC CurrentSince Dec 13, 2025 Accepting new patients
Privia Care Center LLC CurrentSince Dec 13, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 13, 2025 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

Interoperability endpoints

  • Direct secure messaging: kimberly.worsley.1@8042.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1720891583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 PLACIDVILLE WAY",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217848690",
            "telephone_number": "443-812-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PLACIDVILLE WAY",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217848690",
            "telephone_number": "443-812-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSLEY",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.