Individual provider Active NPI

Chante Carroll, AG-ACNP-BC

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1730899840
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R191443 Issued in MD
Practice address
312 Martin Luther King Jr Blvd Ste 102
Baltimore, MD 21201-1221
Phone
(410) 777-8971
Fax
(877) 595-7180
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R191443 MD Primary

Addresses

Primary practice location

312 Martin Luther King Jr Blvd Ste 102
Baltimore, MD 21201-1221

Mailing address

1234 Pine Heights Ave
Baltimore, MD 21229-5132
Phone (410) 925-0990

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
I20230105001089 MD Practitioner - Nurse Practitioner 9133599269 Reassigns benefits to 2 organizations

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
Ritu Bhambhani LLCGroup PAC ID 3274608799, 6 clinicians

Practice addresses (Care Compare)

100 Walter Ward Blvd
Abingdon, MD 21009-1284
Phone (410) 777-8971

100 Walter Ward Blvd
Suite 300
Abingdon, MD 21009-1286

312 N Martin Luther King Blvd
102 Complete Pain Care
Baltimore, MD 21201-1221
Phone (410) 777-8971

5430 Campbell Blvd
Suite 111
White Marsh, MD 21162-5503
Phone (410) 777-8971

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ritu Bhambhani LLC CurrentSince Jun 2, 2025 Accepting new patients
Center for Pain Management, LLC CurrentSince Sep 24, 2023 Accepting new patients

Locations

100 Walter Ward Blvd
Ste 3
Abingdon, MD 21009
Phone (410) 569-3333

100 Walter Ward Blvd
Ste 300
Abingdon, MD 21009
Phone (410) 569-3333

312 Martin Luther King Jr Blvd
Ste 102
Baltimore, MD 21201
Phone (443) 725-4930

1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696

11350 McCormick Rd
Hunt Valley, MD 21031
Phone (410) 258-4721

5010 Regency Pl
Ste 202B
White Plains, MD 20695
Phone (301) 645-1523

Interoperability endpoints

  • Direct secure messaging: ccarroll1@treatingpain.emadirect.md
  • Direct secure messaging: chante.carroll@3520.securemail.prognocis.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1730899840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 PINE HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295132",
            "telephone_number": "410-925-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MARTIN LUTHER KING JR BLVD STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011221",
            "telephone_number": "410-777-8971",
            "fax_number": "877-595-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "CHANTE",
        "name_prefix": "Ms.",
        "credential": "AG-ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R191443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.