Active NPI
Kerri Stallings, CRNP
- Adult Health Clinical Nurse Specialist
- Prince Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- R206647
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
110 Hospital Rd
Suite 105
Prince Frederick, MD 20678-4043
Phone (410) 414-9116
Hospital & facility affiliations
- Calverthealth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.48 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R206647 | MD | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calverthealth Medical Group, LLC | Current | Accepting new patients | |
| Calverthealth Medical Group, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Calverthealth Medical Group, LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Prince Frederick, MD
- NPI 1386871390
-
- Obstetrics & Gynecology Physician
- Prince Frederick, MD
- NPI 1013754969
-
- Family Medicine Physician
- Solomons, MD
- NPI 1396534418
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prince Frederick, MD
- NPI 1457389298
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.