Active NPI
Amy Renea Yankolonis, C.R.N.P
- Family Nurse Practitioner
- Hampstead, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R167589
- Practice address
- 4111 Lower Beckleysville Rd Ste C
Hampstead, MD 21074-2248 - Phone
- (410) 374-0808
- NPI assigned
- Jul 29, 2007
- Last updated
- Apr 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R167589 | MD | Primary |
Addresses
Primary practice location
4111 Lower Beckleysville Rd Ste C
Hampstead, MD 21074-2248
Mailing address
4111 Lower Beckleysville Rd Ste C
Hampstead, MD 21074-2248
Phone (410) 374-0808
Other names 1
- Ms. Amy Renea Kincaid
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Newport Dr
Suite a
Forest Hill, MD 21050-1758
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R167589 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Laiken, MD, PA | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Saint Joseph Medical Center , Inc. | Past | Accepting new patients |
Locations
4111 Lower Beckleysville Rd
Ste C
Hampstead, MD 21074
Phone (410) 374-0808
4111 Lower Beckleysville Rd
Ste 4
Hampstead, MD 21074
Phone (410) 374-0808
1005 S Main St
Ste A
Hampstead, MD 21074
Phone (410) 374-0808
Interoperability endpoints
- amy.yankolonis.1@27340.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Hampstead, MD
- NPI 1982927935
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Multi-Specialty Clinic/Center
- Towson, MD
- NPI 1699862961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1851581565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 LOWER BECKLEYSVILLE RD STE C",
"city": "HAMPSTEAD",
"state": "MD",
"postal_code": "210742248",
"telephone_number": "410-374-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 LOWER BECKLEYSVILLE RD STE C",
"city": "HAMPSTEAD",
"state": "MD",
"postal_code": "210742248",
"telephone_number": "410-374-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANKOLONIS",
"first_name": "AMY",
"middle_name": "RENEA",
"name_prefix": "Mrs.",
"credential": "C.R.N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-29",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R167589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "KINCAID",
"middle_name": "RENEA",
"prefix": "MS.",
"credential": "C.R.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hampstead, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.