Individual provider Active NPI

Kristen Leizear, CRNP

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1912544883
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R214978 Issued in MD
Practice address
501 W 7TH St
Frederick, MD 21701-4586
Phone
(240) 215-6310
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R214978 MD Primary

Addresses

Primary practice location

501 W 7TH St
Frederick, MD 21701-4586

Mailing address

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310

Other practice location 1

6040 Sykesville Rd
Eldersburg, MD 21784-6000
Phone (410) 781-4720

Other practice location 2

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310

Other practice location 3

230 W Patrick St
Frederick, MD 21701-6945
Phone (240) 215-6310

Other practice location 4

141 Thomas Johnson Dr
Frederick, MD 21702-4502
Phone (301) 846-0100

Other practice location 5

400 W 7th St
Frederick, MD 21701-4506
Phone (240) 215-6310

Other practice location 6

15 E Frederick St
Walkersville, MD 21793-8234
Phone (240) 215-6310

Other practice location 7

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310

Other practice location 8

3000D Ventrie Ct
Myersville, MD 21773-7817
Phone (240) 215-6310

Other practice location 9

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (240) 215-6310

Other practice location 10

194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone (240) 215-6310

Other practice location 11

7211 Bank Ct
Frederick, MD 21703-8483
Phone (240) 215-6310

Other practice location 12

16403 Old Emmitsburg Rd
Emmitsburg, MD 21727-8929
Phone (240) 215-6310

Other practice location 13

75 Thomas Johnson Dr
Frederick, MD 21702-4895
Phone (240) 215-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200205001637 DC Practitioner - Nurse Practitioner 6507292828 Reassigns benefits to 2 organizations
I20200206000389 MD Practitioner - Nurse Practitioner 6507292828 Reassigns benefits to 4 organizations
Practice locations: Westminster, MD
I20260526002377 NY Practitioner - Nurse Practitioner 6507292828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personic Virtual Clinic LLCGroup PAC ID 8729496849, 10 clinicians
Premium Healthcare LLCGroup PAC ID 0547667966, 6 clinicians

Practice addresses (Care Compare)

6095 Marshalee Dr
Suite 130
Elkridge, MD 21075-6082
Phone (855) 479-4217

8000 Towers Crescent Dr
Suite 1352
Vienna, VA 22182-6207
Phone (571) 833-0330

8133 Leesburg Pike
Suite 630
Vienna, VA 22182-2730

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Westminster, MD, CCN 217048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R214978MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Frederick Health Medical Group LLC Current Accepting new patients
Personic Virtual Clinic LLC CurrentSince Jan 1, 2023 Accepting new patients
CRH MD Management, LLC CurrentSince Oct 21, 2022 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Feb 1, 2020 Accepting new patients
Premium Healthcare LLC CurrentSince Feb 1, 2025 Accepting new patients
CRH MD Management LLC CurrentSince Oct 21, 2022 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Sep 1, 2022 Accepting new patients
CRH MD Management LLC CurrentSince Oct 21, 2022 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Sep 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
American Wound Care PC PastSince Apr 9, 2024 Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients

Locations (25 of 27)

590 Lanier Ave W
Fayetteville, GA 30214

10320 Little Patuxent Pkwy
Ste 200
Columbia, MD 21044
Phone (703) 988-2360

6095 Marshalee Dr
Ste 130
Elkridge, MD 21075
Phone (410) 885-4727

16403 Old Emmitsburg Rd
Emmitsburg, MD 21727
Phone (240) 566-3100

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

141 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 620-7478

230 W Patrick St
Frederick, MD 21701
Phone (240) 215-6370

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370

75 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 631-3674

495 Premium Outlets Blvd
Hagerstown, MD 21740
Phone (703) 988-2360

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452

3000D Ventrie Ct
Myersville, MD 21773
Phone (301) 663-3137

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

130 Hospital Rd
Ste 102
Prince Frederick, MD 20678
Phone (410) 535-8911

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

3430 Worthington Blvd
Urbana, MD 21704
Phone (240) 874-2530

1 Harbison Way
Ste 222
Columbia, SC 29212

7611 Little River Tpke
Ste 101W
Annandale, VA 22003
Phone (571) 556-9777

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1912544883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-215-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014586",
            "telephone_number": "240-215-6310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 Sykesville Rd",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217846000",
            "country_code": "US",
            "telephone_number": "410-781-4720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Worthington Blvd",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217047017",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 W Patrick St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217016945",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024502",
            "country_code": "US",
            "telephone_number": "301-846-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014506",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 E Frederick St",
            "address_purpose": "LOCATION",
            "city": "Walkersville",
            "state": "MD",
            "postal_code": "217938234",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 E Ridgeville Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217715942",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000D Ventrie Ct",
            "address_purpose": "LOCATION",
            "city": "Myersville",
            "state": "MD",
            "postal_code": "217737817",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1562 Opossumtown Pike",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024920",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024679",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Bank Ct",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217038483",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16403 Old Emmitsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Emmitsburg",
            "state": "MD",
            "postal_code": "217278929",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024895",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIZEAR",
        "first_name": "KRISTEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R214978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.