Individual provider Active NPI

Tina Ha-Johnson, CRNP

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1881408656
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R225672 Issued in MD
Practice address
Mercy Medical Center
345 St Paul PL
Baltimore, MD 21202
Phone
(443) 306-9942
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R225672 MD
Acute Care Nurse Practitioner 363LA2100X R225672 MD Primary

Addresses

Primary practice location

Mercy Medical Center
345 St Paul PL
Baltimore, MD 21202

Mailing address

234 Angelica Way
New Freedom, PA 17349-8911

Other practice location 1

234 Angelica Way
New Freedom, PA 17349-8911
Phone (443) 306-9942

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
I20250902003897 MD Practitioner - Nurse Practitioner 6204337090 Reassigns benefits to 2 organizations
I20260530000360 DC Practitioner - Nurse Practitioner 6204337090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians
Alliance Specialty Partners LLCGroup PAC ID 3274019831, 5 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-2800

8901 Clement Ave
Parkville, MD 21234-2603
Phone (443) 589-7521

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Specialty Partners LLC CurrentSince Dec 7, 2025 Accepting new patients
St Paul Place Specialists Inc CurrentSince Aug 14, 2025 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
St Paul Place Specialists, Inc. CurrentSince Aug 14, 2025 Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

301 Saint Paul St
Bldg 310
Baltimore, MD 21202

3290 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 801-2273

7927 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 661-3338

11121 York Rd
Hunt Valley, MD 21030
Phone (410) 628-0026

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

114 Business Center Dr
Reisterstown, MD 21136
Phone (410) 661-3338

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

Interoperability endpoints

  • Direct secure messaging: thajohnson90612@direct.mdmercy.com

Organizations & group practices 5

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1881408656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 ANGELICA WAY",
            "city": "NEW FREEDOM",
            "state": "PA",
            "postal_code": "173498911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MERCY MEDICAL CENTER",
            "address_2": "345 ST PAUL PL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "443-306-9942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Angelica Way",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173498911",
            "country_code": "US",
            "telephone_number": "443-306-9942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA-JOHNSON",
        "first_name": "TINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R225672",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R225672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.