Individual provider Active NPI

Robbin Witkowski, CRNP, FNP-C

  • Family Nurse Practitioner
  • Forest Hill, MD
National Provider Identifier
1740731827
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R199217 Issued in MD
Practice address
2 Colgate Dr
Ste. 102
Forest Hill, MD 21050-2624
Phone
(410) 420-0161
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R199217 MD Primary

Addresses

Primary practice location

2 Colgate Dr
Ste. 102
Forest Hill, MD 21050-2624

Mailing address

1105 Osborne Pkwy
Forest Hill, MD 21050-2757
Phone (443) 417-3979

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
I20170516001881 MD Practitioner - Nurse Practitioner 1850668146 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
Matthew P Mardiney MD PCGroup PAC ID 7911163464, 4 clinicians

Practice addresses (Care Compare)

2225 Old Emmorton Rd
Suite 111
Bel Air, MD 21015-6122
Phone (443) 987-6998

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199217MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew P Mardiney MD PC CurrentSince May 21, 2023 Accepting new patients
Upper Chesapeake Primary Care,LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

2225 Old Emmorton Rd
Ste 111
Bel Air, MD 21015
Phone (410) 741-3440

2 Colgate Dr
Ste 103
Forest Hill, MD 21050
Phone (410) 420-0161

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

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1740731827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 OSBORNE PKWY",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502757",
            "telephone_number": "443-417-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLGATE DR",
            "address_2": "STE. 102",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502624",
            "telephone_number": "410-420-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOWSKI",
        "first_name": "ROBBIN",
        "credential": "CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

Verify at the official NPI Registry.