Individual provider Active NPI

Claire Katherine Conklin, APRN

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1790268753
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1030319 Issued in DC
Practice address
3800 Reservoir Rd NW Dept OBGYN
Washington, DC 20007-2113
Phone
(862) 219-0214
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1030319 DC Primary
Family Nurse Practitioner 363LF0000X 24735 TN

Addresses

Primary practice location

3800 Reservoir Rd NW Dept OBGYN
Washington, DC 20007-2113

Mailing address

2255 Wisconsin Ave NW
Washington, DC 20007-4155
Phone (862) 219-0214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MA2 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
I20200512003787 DC Practitioner - Nurse Practitioner 9537590294 Reassigns benefits to 1 organization
I20220506000558 MA Practitioner - Nurse Practitioner 9537590294 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nantucket Cottage HospitalGroup PAC ID 1759357601, 91 clinicians

Practice addresses (Care Compare)

2 Corporation Way
Suite 180
Peabody, MA 01960-7996
Phone (978) 532-6111

57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24735TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Cottage Hospital CurrentSince Apr 22, 2022 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Feb 20, 2026 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 9, 2020 Accepting new patients
Nantucket Physicians Organization CurrentSince Apr 22, 2022 Accepting new patients
Nantucket Cottage Hospital CurrentSince Apr 22, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 9, 2020 Accepting new patients
MGMC, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4200 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 243-3400

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1790268753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 WISCONSIN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074155",
            "telephone_number": "862-219-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW DEPT OBGYN",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "862-219-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "CLAIRE",
        "middle_name": "KATHERINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1030319",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.