Individual provider Active NPI

Valerie Michelle Kriegisch

  • Physician Assistant
  • Salisbury, MD
National Provider Identifier
1750604864
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004184 Issued in MD
Practice address
220 Tilghman Rd
Salisbury, MD 21804-1921
Phone
(410) 219-5530
NPI assigned
Mar 3, 2010
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004184 MD Primary

Addresses

Primary practice location

220 Tilghman Rd
Salisbury, MD 21804-1921

Mailing address

220 Tilghman Rd
Salisbury, MD 21804-1921
Phone (410) 219-5530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100614000524 MD Practitioner - Physician Assistant 6204966534 Reassigns benefits to 3 organizations
I20191231000519 DC Practitioner - Physician Assistant 6204966534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Rehab AssociatesGroup PAC ID 4284699406, 9 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Box 400
Salisbury, MD 21801-5422
Phone (410) 543-7065

220 Tilghman Rd
Salisbury, MD 21804-1921
Phone (410) 219-5530

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Nov 1, 2019 Accepting new patients
MNR Industries, LLC CurrentSince Nov 1, 2019 Accepting new patients
MNR Industries, LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

Organizations & group practices 8

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": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1750604864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 TILGHMAN RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041921",
            "telephone_number": "410-219-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 TILGHMAN RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041921",
            "telephone_number": "410-219-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGISCH",
        "first_name": "VALERIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.