Individual provider Active NPI

Nicole A Herpick

  • Family Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1770132391
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R201904 Issued in MD
Practice address
2021B Emmorton Rd
Bel Air, MD 21015-8980
Phone
(410) 569-1001
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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 R201904 MD Primary

Addresses

Primary practice location

2021B Emmorton Rd
Bel Air, MD 21015-8980

Mailing address

224 Chimney Oak Dr
Joppa, MD 21085-4728
Phone (443) 286-4825

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
I20191126001544 MD Practitioner - Nurse Practitioner 7214360684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Bala Family PracticeGroup PAC ID 2860556628, 4 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

2021 B Emmorton Rd
Suite 210
Bel Air, MD 21015-8972
Phone (410) 569-1001

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Forest Hill, MD, CCN 217045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R201904MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bala Family Practice CurrentSince Dec 1, 2019 Accepting new patients

Locations

2021B Emmorton Rd
Ste 210
Bel Air, MD 21015
Phone (410) 569-1001

2021B Emmorton Rd
Bel Air, MD 21015
Phone (410) 569-1001

Interoperability endpoints

  • Direct secure messaging: nicole.herpick@94.securemail.prognocis.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": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1770132391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CHIMNEY OAK DR",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854728",
            "telephone_number": "443-286-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021B EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210158980",
            "telephone_number": "410-569-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERPICK",
        "first_name": "NICOLE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R201904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.