Active NPI
Nicolette Huneycutt McCrary, APRN
- Dermatology Physician
- Lexington Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- AC004644
- Practice address
- 22738 Maple Rd Ste 214
Lexington Park, MD 20653-3348 - Phone
- (240) 237-8268
- NPI assigned
- Jul 31, 2021
- Last updated
- May 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11015481 | FL | |
| Family Nurse Practitioner | 363LF0000X | 95017891 | CA | |
| Family Nurse Practitioner | 363LF0000X | AC004644 | MD | |
| Dermatology Physician | 207N00000X | AC004644 | MD | Primary |
Addresses
Primary practice location
22738 Maple Rd Ste 214
Lexington Park, MD 20653-3348
Mailing address
22738 Maple Rd Ste 214
Lexington Park, MD 20653-3348
Phone (704) 472-8303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22738 Maple Rd
Suite 214
Lexington Park, MD 20653-3348
Phone (240) 237-8268
26840 Point Lookout Rd
Leonardtown, MD 20650
26840 Point Lookout Rd
Leonardtown, MD 20650-4935
Phone (301) 475-8091
PO Box
Suite 1409
Leonardtown, MD 20650-1409
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.05 of 100
- Quality
- 49.52
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 77.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017891 | CA | MD | Family Nurse Practitioner |
| 11015481 | FL | MD | Family Nurse Practitioner |
| AC004644 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
| CRH MD Management LLC | Current | Accepting new patients | |
| CRH MD Management LLC | Current | Accepting new patients | |
| Verghese & Ling M.D.P.a. | Dermatology | Current | Accepting new patients |
| CRH MD Management, LLC | Current | Accepting new patients |
Locations
4475 San Juan Ave
Jacksonville, FL 32210
Phone (904) 389-0314
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
590 Lanier Ave W
Fayetteville, GA 30214
14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684
22738 Maple Rd
Ste 214
Lexington Park, MD 20653
Phone (240) 237-8268
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
173 Saint Patricks Dr
Ste 201
Waldorf, MD 20603
Phone (301) 396-3401
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
-
dba Mid Atlantic Skin Surgery Institute
- Dermatology Physician
- Leonardtown, MD
- NPI 1790713782
-
dba Patriot Urgent Care
- Urgent Care Clinic/Center
- Reisterstown, MD
- NPI 1598435059
DC
-
dba Patriot Urgent Care
- Urgent Care Clinic/Center
- Fort Washington, MD
- NPI 1841072477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1912670274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22738 MAPLE RD STE 214",
"city": "LEXINGTON PARK",
"state": "MD",
"postal_code": "206533348",
"telephone_number": "704-472-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22738 MAPLE RD STE 214",
"city": "LEXINGTON PARK",
"state": "MD",
"postal_code": "206533348",
"telephone_number": "240-237-8268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRARY",
"first_name": "NICOLETTE",
"middle_name": "HUNEYCUTT",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-31",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11015481",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95017891",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC004644",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "AC004644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington Park, MD
- Beko S Mantein, PHARMD.
- Katherine A Martin, DO
- Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy #01497)
- Maryland Sportscare & Rehab LLC (Pivot Physical Therapy of Maryland)
- Jill Matthew, OTR/L
- McDonald Clinical Services, LLC
- Andrea McDonald-Fingland, LLCSW-C
- Allison Brenna McDonald, DPT
- Sydney McGurk
- Sharon McNair-Washington, LGPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.