Stephanie Imler, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R181788 Issued in MD

Practice address

621 Kelly Rd
Cumberland, MD 21502-2878

Phone

(301) 722-3270

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By 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

Enrolled in MD

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hancock, MD
  • NPI 1366491201
  Medicare reassignment NPD
• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Cumberland, MD
  • NPI 1457301939
  NPD
• Tri-State Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1083055081
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1881338739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 KELLY RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022878",
            "telephone_number": "301-722-3270",
            "fax_number": "301-722-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 KELLY RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022878",
            "telephone_number": "301-722-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMLER",
        "first_name": "STEPHANIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R181788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Hadge Chapeyama (Allegany Physical Therapy Agency)
• Deborah S Ickes, RN-BC
• Ideal Option, PLLC
• Ideal Option, PLLC
• Ideal Telemedicine Services LLC
• Independent Dialysis Foundation, Inc
• Independent Dialysis Foundation, Inc
• Inner Compass Counseling Group, LLC
• Inner Light Mental Health
• James Michael Isaac, OTR

• Family Nurse Practitioner in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.