Individual provider Active NPI

Stephanie L Carpenter, FNP

  • Family Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1811409659
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R111489 Issued in MD
Practice address
100 Campus Cir
Owings Mills, MD 21117-7803
Phone
(443) 352-4200
NPI assigned
Nov 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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 R111489 MD Primary

Addresses

Primary practice location

100 Campus Cir
Owings Mills, MD 21117-7803

Mailing address

718 Bayberry Cir
Westminster, MD 21157-5709
Phone (301) 639-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20180112001677 DC Practitioner - Nurse Practitioner 5597024828 Reassigns benefits to 1 organization
I20180112002217 MD Practitioner - Nurse Practitioner 5597024828 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R111489MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jun 17, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 17, 2019 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

9512 Harford Rd
Parkville, MD 21234
Phone (410) 665-4400

9512 Harford Rd
Ste 201
Parkville, MD 21234
Phone (410) 882-0600

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1811409659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 BAYBERRY CIR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575709",
            "telephone_number": "301-639-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS CIR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211177803",
            "telephone_number": "443-352-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R111489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.