Active NPI
Kelly J Vasquenza, C.R.N.P.
- Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R127273
- Practice address
- 600 N Wolfe Street
Blalock 904
Baltimore, MD 21287-0005 - Phone
- (410) 614-6222
- NPI assigned
- Nov 16, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R127273 | MD | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 20010086 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | R127273 | MD | |
| Pain Management Registered Nurse | 163WP0000X | R127273 | MD |
Addresses
Primary practice location
600 N Wolfe Street
Blalock 904
Baltimore, MD 21287-0005
Mailing address
PO Box 64382
Baltimore, MD 21264-4382
Phone (410) 933-5474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T0910 | Other | JHH |
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, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20010086 | MD | MD | Pediatric Nurse Practitioner |
| R127273 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients |
Locations
600 N Wolfe St
Baltimore, MD 21287
601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080
600 N Wolfe St
#904
Baltimore, MD 21287
Phone (410) 614-6222
Interoperability endpoints
- kvasquenza188105@direct.hopkinsmedicine.org
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1386644771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1770764870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64382",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644382",
"telephone_number": "410-933-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE STREET",
"address_2": "BLALOCK 904",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-614-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUENZA",
"first_name": "KELLY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R127273",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "20010086",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R127273",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "MD",
"license": "R127273",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHH",
"identifier": "T0910",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.