Individual provider Active NPI

Karen Ann O'Connor, C.R.N.P.

  • Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1861449191
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R108183 Issued in MD
Practice address
1300 Piccard Dr Ste 202
Rockville, MD 20850-4697
Phone
(240) 686-2300
NPI assigned
May 30, 2006
Last updated
Mar 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R108183 MD Primary

Addresses

Primary practice location

1300 Piccard Dr Ste 202
Rockville, MD 20850-4697

Mailing address

3010 Tobacco Rd
Chesapeake Beach, MD 20732-3618
Phone (410) 414-3335

Other identifiers 1

IdentifierTypeStateIssuer
404181000MedicaidMD

Other names 1

  • Karen Tavenner O'Connor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20040510001649 MD Practitioner - Nurse Practitioner 9931198389 Reassigns benefits to 3 organizations
I20070731000204 DC Practitioner - Nurse Practitioner 9931198389

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Critical Care Medicine Services East, LLCGroup PAC ID 1850783440, 35 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 414-4767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.01 of 100Reported as group
Quality
30.95
Improvement activities
40
Cost
78.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R108183MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Washington Medical Center Inc. Current Accepting new patients
Usacs Critical Care Medicine Services East, LLC CurrentSince Jul 11, 2023 Accepting new patients
Calverthealth Medical Group, LLC Nurse Practitioner Current Accepting new patients
Calverthealth Medical Group, LLC Nurse Practitioner CurrentSince Jan 29, 2018 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Jun 3, 2013 Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Jun 3, 2013 Accepting new patients
Calverthealth Medical Group, LLC Nurse Practitioner CurrentSince Jan 29, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

300 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4940

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

Interoperability endpoints

  • Direct secure messaging: koconnor83219@direct.umm.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1861449191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 TOBACCO RD",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323618",
            "telephone_number": "410-414-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PICCARD DR STE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504697",
            "telephone_number": "240-686-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R108183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404181000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "O'CONNOR",
            "middle_name": "TAVENNER",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.