Individual provider Active NPI

Megan Grey

  • Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1730506304
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R182090 Issued in MD
Practice address
2131 Davidsonville Rd
Crofton, MD 21114-1632
Phone
(410) 507-7617
NPI assigned
Mar 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X R182090 MD
Nurse Practitioner 363L00000X R182090 MD Primary
Gerontology Nurse Practitioner 363LG0600X R182090 MD

Addresses

Primary practice location

2131 Davidsonville Rd
Crofton, MD 21114-1632

Mailing address

542 Fairmount Rd
Linthicum, MD 21090-2842
Phone (410) 995-7439

Other practice location 1

8710 Emge Rd
Baltimore, MD 21234-3504
Phone (410) 661-5955

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
I20140513000615 MD Practitioner - Nurse Practitioner 0941433221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Elder Care LLCGroup PAC ID 8628452836, 6 clinicians

Practice addresses (Care Compare)

2131 Davidsonville Rd
Crofton, MD 21114-1632
Phone (410) 507-7617

Merit-based Incentive Payment System (MIPS)

Final score
89.32 of 100Reported as group
Quality
90
Improvement activities
40
Cost
61.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R182090MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Apr 15, 2015 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 15, 2015 Accepting new patients
Maryland Elder Care LLC CurrentSince Dec 7, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Maryland Elder Care LLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

2700 Southaven Rd
Annapolis, MD 21401
Phone (410) 349-5100

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

305 College Pkwy
Arnold, MD 21012
Phone (410) 431-5106

2131 Davidsonville Rd
Crofton, MD 21114
Phone (301) 261-3637

1221 Waugh Chapel Rd
Gambrills, MD 21054
Phone (410) 923-2020

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1730506304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 FAIRMOUNT RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902842",
            "telephone_number": "410-995-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 DAVIDSONVILLE RD",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141632",
            "telephone_number": "410-507-7617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8710 Emge Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212343504",
            "country_code": "US",
            "telephone_number": "410-661-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREY",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MD",
            "license": "R182090",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R182090",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R182090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.