Kaylee Rebecca Livengood, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R250223 Issued in MD

Practice address

1027 Memorial Dr
Oakland, MD 21550-4343

Phone

(301) 533-3300

Fax

(301) 533-3299

NPI assigned

Apr 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kaylee Rebecca Sisler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Maryland Health Care CorporationGroup PAC ID 9436152493, shared by 6 NPIs, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaylee.livengood.1@28818.direct.athenahealth.com

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.

• Western Maryland Health Care Corporation

  • Community/Retail Pharmacy
  • Grantsville, MD
  • NPI 1083415947
  NPD
• Western Maryland Health Care Corporation

  • Federally Qualified Health Center (FQHC)
  • Oakland, MD
  • NPI 1467427047
  NPD
• Western Maryland Health Care Corporation

  • Federally Qualified Health Center (FQHC)
  • Bruceton Mills, WV
  • NPI 1679269807
  NPD (past)

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

• GRMC, Inc.

  • General Acute Care Hospital
  • Oakland, MD
  • NPI 1598417412
  Care Compare affiliation

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1891483889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Parkview Dr",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "MD",
            "postal_code": "215361086",
            "country_code": "US",
            "telephone_number": "301-895-5107",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVENGOOD",
        "first_name": "KAYLEE",
        "middle_name": "REBECCA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R250223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "SISLER",
            "middle_name": "REBECCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bao-Ngoc Le, RPH
• Jennifer Lechliter, LCPC
• Shanara Lee
• Samuel J Leizear, MSW
• Kristy Leone, LCPC, LCPAT, ATR-BC
• Shawn E Long, M.D.
• Timothy Shelton Longest, D.D.S.
• Lotus Grove Counseling
• Lovelight Pediatrics, LLC
• Lovelight Pediatrics, LLC

• Family Nurse Practitioner in Oakland, MD
• Providers in Oakland, 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 27, 2023; 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.

Verify at the official NPI Registry.