Individual provider Active NPI

Amy Nicole Johnson, CRNP

  • Adult Health Nurse Practitioner
  • Abingdon, MD
National Provider Identifier
1790375111
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R187858 Issued in MD
Practice address
100 Walter Ward Blvd Ste 100
Abingdon, MD 21009-1283
Phone
(443) 347-4700
Fax
(443) 643-4707
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R187858 MD Primary

Addresses

Primary practice location

100 Walter Ward Blvd Ste 100
Abingdon, MD 21009-1283

Mailing address

4010 Silvage Rd
Nottingham, MD 21236-1035
Phone (443) 553-0597

Other practice location 1

251 Lewis Ln Ste 105
Havre DE Grace, MD 21078-3752
Phone (443) 347-4700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address harfordgastro@directaddress.net Direct

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
I20210407001602 MD Practitioner - Nurse Practitioner 7113334236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harford Gastroenterology Associates PAGroup PAC ID 4688683865, 9 clinicians

Practice addresses (Care Compare)

100 Walter Ward Blvd
Suite 100
Abingdon, MD 21009-1283
Phone (443) 483-3022

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R187858MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2021 Accepting new patients
Harford Gastroenterology Associates PA CurrentSince Dec 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2021 Accepting new patients
Harford Gastroenterology Associates PA CurrentSince Dec 1, 2024 Accepting new patients

Locations

100 Walter Ward Blvd
Ste 100
Abingdon, MD 21009
Phone (443) 347-4700

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

251 Lewis Ln
Ste 105
Havre de Grace, MD 21078
Phone (410) 939-5082

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

Organizations & group practices 4

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1790375111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SILVAGE RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361035",
            "telephone_number": "443-553-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD STE 100",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091283",
            "telephone_number": "443-347-4700",
            "fax_number": "443-643-4707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Lewis Ln Ste 105",
            "address_purpose": "LOCATION",
            "city": "Havre DE Grace",
            "state": "MD",
            "postal_code": "210783752",
            "country_code": "US",
            "telephone_number": "443-347-4700",
            "fax_number": "443-643-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R187858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "harfordgastro@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Walter Ward Blvd Ste 100",
            "city": "Abingdon",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210091283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

Verify at the official NPI Registry.