Individual provider Active NPI

Page Madison Kuntze, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1730885260
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R217283 Issued in MD
Practice address
1322 Belmont Ave Ste 201
Salisbury, MD 21804-4593
Phone
(410) 749-6833
NPI assigned
Feb 6, 2023
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 R217283 MD Primary

Addresses

Primary practice location

1322 Belmont Ave Ste 201
Salisbury, MD 21804-4593

Mailing address

1322 Belmont Ave Ste 201
Salisbury, MD 21804-4593
Phone (410) 749-6833

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
I20230307001960 MD Practitioner - Nurse Practitioner 3577936830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Atlantic Primary CareGroup PAC ID 7113267261, 4 clinicians

Practice addresses (Care Compare)

1322 Belmont Ave
Suite 201
Salisbury, MD 21804-4593
Phone (410) 749-6833

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R217283MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Primary Care CurrentSince Feb 4, 2023 Accepting new patients

Locations

1322 Belmont Ave
Ste 201
Salisbury, MD 21804
Phone (410) 749-6833

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19271/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1730885260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 BELMONT AVE STE 201",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044593",
            "telephone_number": "410-749-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 BELMONT AVE STE 201",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044593",
            "telephone_number": "410-749-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZE",
        "first_name": "PAGE",
        "middle_name": "MADISON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R217283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.