Individual provider Active NPI

Kathleen Bocskor, NP- FAMILY

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1740664341
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R220716 Issued in MD
Practice address
2112 Dundalk Ave
Baltimore, MD 21222-3714
Phone
(410) 288-4800
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R220716 MD Primary
Registered Nurse 163W00000X R220716 MD
Registered Nurse 163W00000X 686422-1 NY

Addresses

Primary practice location

2112 Dundalk Ave
Baltimore, MD 21222-3714

Mailing address

2112 Dundalk Ave
Baltimore, MD 21222-3714
Phone (410) 288-4800

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
I20160603000417 MD Practitioner - Nurse Practitioner 1557651551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harford Gastroenterology Associates PAGroup PAC ID 4688683865, 9 clinicians

Practice addresses (Care Compare)

100 Walter Ward Blvd
Suite 100
Abingdon, MD 21009-1283
Phone (443) 483-3022

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
91.19 of 100Reported as group
Quality
86.11
Promoting interoperability
100
Improvement activities
40
Cost
84.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
686422-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Gastroenterology Associates PA CurrentSince Oct 18, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2019 Accepting new patients
Harford Gastroenterology Associates PA CurrentSince Oct 27, 2024 Accepting new patients

Locations

100 Walter Ward Blvd
Ste 100
Abingdon, MD 21009
Phone (443) 347-4700

3333 N Calvert St
Ste 540
Baltimore, MD 21218
Phone (410) 235-8858

3333 N Calvert St
Ste 530
Baltimore, MD 21218
Phone (410) 366-5775

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

251 Lewis Ln
Ste 105
Havre de Grace, MD 21078
Phone (410) 939-5082

Organizations & group practices 4

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1740664341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 DUNDALK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212223714",
            "telephone_number": "410-288-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 DUNDALK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212223714",
            "telephone_number": "410-288-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCSKOR",
        "first_name": "KATHLEEN",
        "credential": "NP- FAMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R220716",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R220716",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "686422-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.