Individual provider Active NPI

Kacie Marenga, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutherville, MD
National Provider Identifier
1790382109
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R240617 Issued in MD
Practice address
1447 York Rd Ste 506
Lutherville, MD 21093-6022
Phone
(443) 841-7550
NPI assigned
Oct 8, 2020
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 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
I20201109001944 MD Practitioner - Nurse Practitioner 4284044975 Reassigns benefits to 5 organizations
I20220224000330 DC Practitioner - Nurse Practitioner 4284044975 Reassigns benefits to 1 organization

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
Psychnp Wellness Center LLCGroup PAC ID 5890919625, 15 clinicians
Mountainview Mind and Mood LLCGroup PAC ID 1951895770, 2 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
R240167MDMDPsychiatric/Mental Health Nurse Practitioner
R240617MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Hollow Health PC CurrentSince Sep 30, 2025 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Jan 2, 2024 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Psychnp Wellness Center, LLC Psychiatric/Mental Health CurrentSince Nov 3, 2020 Accepting new patients
Mountainview Mind & Mood LLC Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Psychogeriatric Services LLC CurrentSince Mar 7, 2022 Accepting new patients
Post Acute Physician Partners, LLC CurrentSince Jun 1, 2022 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Jan 2, 2024 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.