Individual provider Active NPI

Kerri Stallings, CRNP

  • Adult Health Clinical Nurse Specialist
  • Prince Frederick, MD
National Provider Identifier
1801535778
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
R206647 Issued in MD
Practice address
110 Hospital Rd Ste 105
Prince Frederick, MD 20678-4043
Phone
(410) 414-9116
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R206647 MD
Adult Health Clinical Nurse Specialist 364SA2200X R206647 MD Primary

Addresses

Primary practice location

110 Hospital Rd Ste 105
Prince Frederick, MD 20678-4043

Mailing address

110 Hospital Rd Ste 105
Prince Frederick, MD 20678-4043
Phone (410) 414-9116

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
I20220712000170 MD Practitioner - Nurse Practitioner 9931589645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calverthealth Medical Group, LLCGroup PAC ID 2163562695, 50 clinicians

Practice addresses (Care Compare)

110 Hospital Rd
Suite 105
Prince Frederick, MD 20678-4043
Phone (410) 414-9116

Hospital & facility affiliations

  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
74.54
Promoting interoperability
99
Improvement activities
40
Cost
81.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R206647MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Group, LLC Current Accepting new patients
Calverthealth Medical Group, LLC CurrentSince May 13, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 16, 2023 Accepting new patients
Calverthealth Medical Group, LLC CurrentSince May 13, 2022 Accepting new patients

Locations

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

110 Hospital Rd
Ste 102
Prnc Frederck, MD 20678
Phone (410) 414-4852

110 Hospital Rd
Ste 105
Prnc Frederck, MD 20678
Phone 4103568186367

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kerri.stallings@directcalverthospital.org

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1801535778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 105",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784043",
            "telephone_number": "410-414-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 105",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784043",
            "telephone_number": "410-414-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "KERRI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R206647",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MD",
            "license": "R206647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.