Active NPI
Chante Carroll, AG-ACNP-BC
- Acute Care Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R191443
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ritu Bhambhani LLC | Current | Accepting new patients | |
| Center for Pain Management, LLC | Current | 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
- ccarroll1@treatingpain.emadirect.md
- 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.
-
- Specialist
- Abingdon, MD
- NPI 1316133457
-
- Interventional Pain Medicine Physician
- Hagerstown, MD
- NPI 1962463265
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
- Carroll Regional Cancer Center Physicians, LLC
- Nannette Charlotte Carroll-James, CSCAD
- Anna Laura Carroll, MD
- Avraham Mordechai Carroll I
- Cecelia Lewis Carroll, LCSW-C
- Christopher Patrick Carroll, M.D.
- Danna Celeste Carroll, LCSW-C
- Erica Carroll, LMSW
- Irene Carroll, LCSW-C
- John Lee Carroll Jr., LCSW-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.