Michelle Lynn Ridgeway, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R157571 Issued in MD

Practice address

400 W 7TH St
Frederick, MD 21701

Phone

(240) 566-3990

Fax

(240) 439-8910

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, PA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baltimore Ketamine ClinicGroup PAC ID 9739568569, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.41 of 100Reported as group

Quality

30.12

Promoting interoperability

80

Improvement activities

40

Cost

57.93

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Baltimore Ketamine Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Sparks Glencoe, MD
  • NPI 1972145381
  Medicare reassignment Care Compare group NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  Medicare reassignment NPD
• Baltimore Ketamine Clinic

  • Infusion Therapy Clinic/Center
  • Sparks, MD
  • NPI 1508580275
  NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Camp Hill, PA
  • NPI 1114333952
  NPD
• Pinnacle Health Medical Services

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Baltimore Ketamine Clinic Eastern Shore

  • Clinic/Center
  • Salisbury, MD
  • NPI 1366171720
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1730677121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37086",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973086",
            "telephone_number": "240-439-8913",
            "fax_number": "240-439-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "240-566-3990",
            "fax_number": "240-439-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Memorial Ave",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211575726",
            "country_code": "US",
            "telephone_number": "410-871-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2595 Interstate Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109378",
            "country_code": "US",
            "telephone_number": "800-370-3651 x5007",
            "fax_number": "877-515-7147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2595 Interstate Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109378",
            "country_code": "US",
            "telephone_number": "800-370-3651 x5007",
            "fax_number": "877-515-7147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDGEWAY",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP018753",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R157571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Michelle Richards, ATC, LAT
• Karen Elizabeth Richardson, LCSW
• Laurey W. Richmond, LCPC
• Jacqueline Renee Ricketts, GNA/CNA
• Rebecca Ridenour, RDN, LDN
• Rachel H. Ridgway, MS, PA-C
• Dawn Marie Riesett, PA-C
• Chelsi Riffe, LCSW-C
• Michael Howard Rifkin, M.D.
• Grace Marie Riley, PSY.D.

• Psychiatric/Mental Health Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.