Individual provider Active NPI

Nicolette Huneycutt McCrary, APRN

  • Dermatology Physician
  • Lexington Park, MD
National Provider Identifier
1912670274
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
AC004644 Issued in MD
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC3 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
I20211222001254 FL Practitioner - Nurse Practitioner 5496146649 Reassigns benefits to 1 organization
I20231217000000 MD Practitioner - Nurse Practitioner 5496146649 Reassigns benefits to 2 organizations
I20231217000003 DC Practitioner - Nurse Practitioner 5496146649 Reassigns benefits to 1 organization

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
Verghese and Ling M.D.P.a.Group PAC ID 3476637877, 5 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
95017891CAMDFamily Nurse Practitioner
11015481FLMDFamily Nurse Practitioner
AC004644MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Oct 27, 2021 Accepting new patients
CRH MD Management LLC CurrentSince Dec 8, 2023 Accepting new patients
CRH MD Management LLC CurrentSince Dec 8, 2023 Accepting new patients
Verghese & Ling M.D.P.a. Dermatology CurrentSince Feb 24, 2025 Accepting new patients
CRH MD Management, LLC CurrentSince Dec 8, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.