NPIMap

Organization Active NPI

Primary NP Associates

  • Family Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1780165308
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R154217 Issued in MD
Legal business name
PRIMARY NP ASSOCIATES
Practice address
110 Painters Mill Rd Ste 206
Owings Mills, MD 21117-5251
Phone
(410) 356-4680
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Mrs. Tracy Chinita Bishop, NPNPI 1952726820
Title
Owner
Phone
(410) 356-4680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R154217 MD Primary

Addresses

Primary practice location

110 Painters Mill Rd Ste 206
Owings Mills, MD 21117-5251

Mailing address

110 Painters Mill Rd Ste 206
Owings Mills, MD 21117-5251
Phone (410) 356-4680

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190415001426 MD Part B Supplier - Clinic/Group Practice 7911248281 Receives reassigned benefits from 5 practitioners
Practice locations: Owings Mills, MD
O20190520000413 DC Part B Supplier - Clinic/Group Practice 7911248281 Receives reassigned benefits from 2 practitioners
Practice locations: Owings Mills, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2226732Primary NP Associates110 Painters Mill Road #206, Owings Mills, MD 21117Provider-performed microscopyJun 2, 2027

National Provider Directory

National Provider Directory

Locations

110 Painters Mill Rd
Ste 206
Owings Mills, MD 21117
Phone (410) 356-4680

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1780165308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 206",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175251",
            "telephone_number": "410-356-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 206",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175251",
            "telephone_number": "410-356-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY NP ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "CHINITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-356-4680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R154217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.