Individual provider Active NPI

Kyra Szugye, AG-ACNP

  • Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1750103669
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R189736 Issued in MD
Practice address
5205 Chairmans CT Ste 100
Frederick, MD 21703-2916
Phone
(301) 696-0012
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 R189736 MD Primary

Addresses

Primary practice location

5205 Chairmans CT Ste 100
Frederick, MD 21703-2916

Mailing address

5205 Chairmans CT Ste 100
Frederick, MD 21703-2916

Other names 1

  • Kyra Stevens 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
I20241231000148 MD Practitioner - Nurse Practitioner 8325575434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Kidney Care Associates LLC.Group PAC ID 9739250952, 4 clinicians

Practice addresses (Care Compare)

5205 Chairmans CT
Suite 100
Frederick, MD 21703-2916
Phone (301) 696-0012

Hospital & facility affiliations

  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R189736MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Kidney Care Associates LLC. CurrentSince Dec 19, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5205 Chairmans Ct
Ste 100
Frederick, MD 21703
Phone (301) 696-0012

Interoperability endpoints

  • Direct secure messaging: kszugye43114@direct.davitaphysiciansolutions.com

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 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": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1750103669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032916",
            "telephone_number": "301-696-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUGYE",
        "first_name": "KYRA",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R189736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYRA",
            "last_name": "STEVENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.