Individual provider Active NPI

Sherene Nicketa Lindsay, FNP

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1801269758
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R166454 Issued in MD
Practice address
300 Ballenger Center Dr
Frederick, MD 21703-7096
Phone
(866) 389-2727
NPI assigned
Nov 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R166454 MD Primary

Addresses

Primary practice location

300 Ballenger Center Dr
Frederick, MD 21703-7096

Mailing address

300 Ballenger Center Drive
Frederick, MD 21703
Phone (240) 462-7515

Other practice location 1

402 S Jefferson St
Frederick, MD 21701-6208
Phone (866) 389-2727

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
I20160105002303 MD Practitioner - Nurse Practitioner 6507168713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ikon Health, LLCGroup PAC ID 2365846953, 11 clinicians
Frederick Kidney Care Associates LLC.Group PAC ID 9739250952, 4 clinicians

Practice addresses (Care Compare)

26 Owens Glen CT
North Potomac, MD 20878-2300
Phone (301) 664-4209

5205 Chairmans CT
Suite 100
Frederick, MD 21703-2916
Phone (301) 696-0012

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Kidney Care Associates LLC. CurrentSince Jul 12, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5205 Chairmans Ct
Ste 100
Frederick, MD 21703
Phone (301) 696-0012

Interoperability endpoints

  • Direct secure messaging: sherene.n.lindsay@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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": "1446336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1801269758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BALLENGER CENTER DRIVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21703",
            "telephone_number": "240-462-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BALLENGER CENTER DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037096",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217016208",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "SHERENE",
        "middle_name": "NICKETA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-01",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R166454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.