Individual provider Active NPI

Suzanne P. O'Keefe, CRNP

  • Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1740229210
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R122814 Issued in MD
Practice address
520 Upper Chesapeake Dr
Suite 312 (CCC)
Bel Air, MD 21014-4339
Phone
(443) 643-2273
Fax
(443) 643-1545
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R122814 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr
Suite 312 (CCC)
Bel Air, MD 21014-4339

Mailing address

520 Upper Chesapeake Dr
Suite 312 (CCC)
Bel Air, MD 21014-4339
Phone (443) 643-2273

Other identifiers 1

IdentifierTypeStateIssuer
383502200MedicaidMD

Other names 1

  • Suzanne Patterson Former name

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
I20050713000543 MD Practitioner - Nurse Practitioner 0042246860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Chesapeake Primary Care,LLCGroup PAC ID 3476637737, 17 clinicians

Practice addresses (Care Compare)

2027 Pulaski Hwy
Suite 203
Havre de Grace, MD 21078-2147
Phone (443) 843-6262

615 W Macphail Rd
Suite 206
Bel Air, MD 21014-4305
Phone (443) 643-2273

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Cardiology, LLC CurrentSince Dec 21, 2015 Accepting new patients
Upper Chesapeake Medical Services, Inc CurrentSince Aug 6, 2018 Accepting new patients
Upper Chesapeake Primary Care,LLC CurrentSince Aug 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Midatlantic Cardiovascular Associates PA Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

520 Upper Chesapeake Dr
Ste 312
Bel Air, MD 21014
Phone (443) 643-2236

615 W Macphail Rd
Ste 206
Bel Air, MD 21014
Phone (410) 638-5101

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

520 Upper Chesapeake Dr
Ste 201
Bel Air, MD 21014
Phone (410) 893-3122

2027 Pulaski Hwy
Ste 203
Hvre de Grace, MD 21078
Phone (410) 658-4099

Interoperability endpoints

  • Direct secure messaging: sokeefe651772@direct.umm.edu

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.

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1740229210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 312 (CCC)",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-2273",
            "fax_number": "443-643-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 312 (CCC)",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-2273",
            "fax_number": "443-643-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "SUZANNE",
        "middle_name": "P.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R122814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383502200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "PATTERSON",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.