Active NPI
Melissa Lynn Eigenbrode, CRNP
- Family Nurse Practitioner
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R160974
- Practice address
- 511 Idlewild Ave Ste B
Easton, MD 21601-3888 - Phone
- (410) 822-6005
- NPI assigned
- Mar 21, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R160974 | MD | Primary |
Addresses
Primary practice location
511 Idlewild Ave Ste B
Easton, MD 21601-3888
Mailing address
8646 Briar Patch Dr
Denton, MD 21629-2811
Phone (410) 829-9245
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845
2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000
500 Cadmus LN
Easton, MD 21601-4094
Hospital & facility affiliations
- University of MD Shore Medical Center at Easton
- University of MD Shore Medical Ctr at Chestertown
- Tidalhealth Peninsula Regional, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| Statcare Group LLC | Past | Accepting new patients |
Locations
744 S Philadelphia Blvd
Ste B
Aberdeen, MD 21001
Phone (443) 345-2650
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
8 Denton Plz
#1
Denton, MD 21629
Phone (443) 606-2300
8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300
1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756
511 Idlewild Ave
Ste B
Easton, MD 21601
Phone (410) 763-8787
28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086
219 S Washington St
Easton, MD 21601
2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
Interoperability endpoints
- meigenbrode530893@direct.umm.edu
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Urgent Care Clinic/Center
- Denton, MD
- NPI 1487251997
-
- Urgent Care Clinic/Center
- Fallston, MD
- NPI 1770180283
-
- Urgent Care Clinic/Center
- Glen Burnie, MD
- NPI 1801651674
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
-
- Urgent Care Clinic/Center
- Phoenix, MD
- NPI 1861448813
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1740784180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8646 BRIAR PATCH DR",
"city": "DENTON",
"state": "MD",
"postal_code": "216292811",
"telephone_number": "410-829-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 IDLEWILD AVE STE B",
"city": "EASTON",
"state": "MD",
"postal_code": "216013888",
"telephone_number": "410-822-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIGENBRODE",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R160974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.