Individual provider Active NPI

Anna K. Elwood, PMH NP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1740679067
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024172209 Issued in VA
Practice address
18714 N Village
Hagerstown, MD 21742-2454
Phone
(301) 733-0330
Fax
(301) 733-4038
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024172209 VA Primary

Addresses

Primary practice location

18714 N Village
Hagerstown, MD 21742-2454

Mailing address

13121 Brook Lane
Hagerstown, MD 21742
Phone (301) 733-0330

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
I20160721000824 MD Practitioner - Nurse Practitioner 1153614672 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172209VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brook Lane Health Services, Inc. CurrentSince May 10, 2016 Accepting new patients
Brook Lane Behavioral Services, Inc. CurrentSince May 10, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Dagenhart Health and Wellness, LLC Psychiatric/Mental Health Past Accepting new patients

Locations

4540 Mack Ave
Ste B
Frederick, MD 21703
Phone (301) 698-5665

5301 Buckeystown Pike
Ste 170
Frederick, MD 21704
Phone (240) 575-9688

13218 Brooklane Dr
Hagerstown, MD 21742
Phone 3017330330184

18714 North Village
Hagerstown, MD 21742
Phone (301) 733-0331

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.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1740679067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18714 N VILLAGE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422454",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWOOD",
        "first_name": "ANNA",
        "middle_name": "K.",
        "credential": "PMH NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024172209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.