Individual provider Active NPI

Mary Grace Renfrow, DNP, CRNP

  • Nurse Practitioner
  • Towson, MD
National Provider Identifier
1801372800
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R206254 Issued in MD
Practice address
7505 Osler Dr Ste 502
Towson, MD 21204-7740
Phone
(410) 296-4210
Fax
(443) 276-5865
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R206254 MD Primary

Addresses

Primary practice location

7505 Osler Dr Ste 502
Towson, MD 21204-7740

Mailing address

207 Blenheim Rd
Baltimore, MD 21212-1704
Phone (410) 812-5448

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
I20180925000391 MD Practitioner - Nurse Practitioner 2163773557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Digestive Associates, PCGroup PAC ID 5597151357, 38 clinicians

Practice addresses (Care Compare)

621 Ridgely Ave
Suite 201
Annapolis, MD 21401-1083
Phone 4102244887421

Hospital & facility affiliations

  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
59.44
Promoting interoperability
97
Improvement activities
40
Cost
81.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Associates, LLC CurrentSince Apr 26, 2022 Accepting new patients
Chesapeake Digestive Associates, PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797

1220C E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

7505 Osler Dr
Ste 502
Towson, MD 21204
Phone (410) 296-1464

Interoperability endpoints

  • Direct secure messaging: mrenfrow481534@direct.umm.edu
  • Direct secure messaging: mary.renfrow@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 2

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1801372800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BLENHEIM RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121704",
            "telephone_number": "410-812-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR STE 502",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047740",
            "telephone_number": "410-296-4210",
            "fax_number": "443-276-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFROW",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R206254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.