Individual provider Active NPI

Kaylee Moody, CRNP

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1720898281
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R250137 Issued in MD
Practice address
7109 Guilford Dr Ste 300
Frederick, MD 21704-5266
Phone
(301) 695-6800
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 R250137 MD Primary

Addresses

Primary practice location

7109 Guilford Dr Ste 300
Frederick, MD 21704-5266

Mailing address

1338 Taney Ave Apt 301
Frederick, MD 21702-4286
Phone (240) 409-7528

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
I20250211002534 MD Practitioner - Nurse Practitioner 4981134608 Reassigns benefits to 1 organization

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
Frederick Gastroenterology Associates PAGroup PAC ID 8022058650, 16 clinicians

Practice addresses (Care Compare)

7109 Guilford Dr
Suite 300
Frederick, MD 21704-5266
Phone (301) 695-6800

Hospital & facility affiliations

  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R250137MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Gastroenterology Associates PA CurrentSince Dec 7, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7109 Guilford Dr
Ste 300
Frederick, MD 21704
Phone (301) 695-6800

3430 Worthington Blvd
Ste 206
Urbana, MD 21704
Phone (301) 695-6800

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1720898281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 TANEY AVE APT 301",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024286",
            "telephone_number": "240-409-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 GUILFORD DR STE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045266",
            "telephone_number": "301-695-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "KAYLEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R250137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.