Kelly Bartz, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R189658 Issued in MD

Practice address

811 Ritchie Hwy Ste 15
Severna Park, MD 21146-4130

Phone

(410) 995-9993

Fax

(410) 995-8702

NPI assigned

Aug 9, 2018

Last updated

Mar 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solace Mental Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Severna Park, MD
  • NPI 1740884931
  NPD Authorized official
• Omni House Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Glen Burnie, MD
  • NPI 1942367222
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1811476096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 RITCHIE HWY STE 15",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464130",
            "telephone_number": "410-995-9993",
            "fax_number": "410-995-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RITCHIE HWY STE 15",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464130",
            "telephone_number": "410-995-9993",
            "fax_number": "410-995-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTZ",
        "first_name": "KELLY",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R189658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G Banach, LGPC
• Ty'Kera Barnes, BEHAVIOR TECHNICIAN
• Stephanie Barnett
• Laportia Barrows
• Meaghan Barry, LCPC, LMHC
• Cheyenne Baxley, MS, LCPC
• Bay Area Counseling & Consultation, LLC
• Baycove Family and Cosmetic Dentistry LLC
• Ilene B Bayer-Garner, MD
• Susan Ann Beadle-Lynch, LCSW-C

• Psychiatric/Mental Health Nurse Practitioner in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.