Active NPI
Kacie Marenga, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Lutherville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R240617
- Practice address
- 1447 York Rd Ste 506
Lutherville, MD 21093-6022 - Phone
- (443) 841-7550
- NPI assigned
- Oct 8, 2020
- Last updated
- Feb 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R240617 | MD | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R240167 | MD |
Addresses
Primary practice location
1447 York Rd Ste 506
Lutherville, MD 21093-6022
Mailing address
712 Glenbrook Dr
Middletown, MD 21769-7752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000
658 Kenilworth Dr
Suite 206
Towson, MD 21204-2334
Phone (443) 841-7550
712 Glenbrook Dr
Middletown, MD 21769-7752
Phone (757) 478-7008
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.23 of 100
- Quality
- 60.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R240167 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| R240617 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Hollow Health PC | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Psychnp Wellness Center, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Mountainview Mind & Mood LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Psychogeriatric Services LLC | Current | Accepting new patients | |
| Post Acute Physician Partners, LLC | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
658 Kenilworth Dr
Ste 206
Towson, MD 21204
Phone (410) 828-3585
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
Interoperability endpoints
- https://api.platform.athenahealth.com/19068/brand/1/csg/1/fhir/r4
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Timonium, MD
- NPI 1174815807
-
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, MD
- NPI 1417662438
-
- Psychiatric/Mental Health Nurse Practitioner
- Towson, MD
- NPI 1184042004
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1710385554
-
- Psychiatry Physician
- Westminster, MD
- NPI 1164163531
-
- Cardiovascular Disease Physician
- Lutherville, MD
- NPI 1740086149
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1003700071
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1912904210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1790382109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 GLENBROOK DR",
"city": "MIDDLETOWN",
"state": "MD",
"postal_code": "217697752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 YORK RD STE 506",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936022",
"telephone_number": "443-841-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARENGA",
"first_name": "KACIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R240617",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R240167",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.