Individual provider Active NPI

Kristen McDonald, DC

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1811551906
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S04010 Issued in MD
Practice address
605 N Bentz St Ste 103
Frederick, MD 21701-4983
Phone
(301) 662-4220
Fax
(301) 662-9185
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S04010 MD Primary

Addresses

Primary practice location

605 N Bentz St Ste 103
Frederick, MD 21701-4983

Mailing address

605 N Bentz St Ste 103
Frederick, MD 21701-4983
Phone (301) 662-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603002363 MD Practitioner - Chiropractic 2567795784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arise Chiropractic Wellness Center, LLCGroup PAC ID 1254424880, 3 clinicians

Practice addresses (Care Compare)

605 N Bentz St
Suite 103
Frederick, MD 21701-4983
Phone (301) 662-4220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S04010MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Chiropractic Wellness Center, LLC Chiropractor CurrentSince May 6, 2024 Accepting new patients

Locations

605 N Bentz St
Ste 103
Frederick, MD 21701
Phone (301) 662-4220

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1811551906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N BENTZ ST STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014983",
            "telephone_number": "301-662-4220",
            "fax_number": "301-662-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N BENTZ ST STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014983",
            "telephone_number": "301-662-4220",
            "fax_number": "301-662-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KRISTEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.