Marybeth Grannis Moskovitz, CNM, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R175707 Issued in MD

Practice address

2600 Solomons Island Rd
Edgewater, MD 21037-1102

Phone

(443) 443-5900

NPI assigned

Nov 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Marybeth Grannis Former name

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arundel Lodge, Inc.Group PAC ID 8123197050, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Arundel Lodge, Inc.

  • Community/Behavioral Health Agency
  • Edgewater, MD
  • NPI 1225213507
  Medicare reassignment Care Compare group NPD
• Arundel Lodge, Inc

  • Community/Behavioral Health Agency
  • Edgewater, MD
  • NPI 1255516506
  NPD
• Arundel Lodge, Inc

  • Community/Behavioral Health Agency
  • Annapolis, MD
  • NPI 1689063059
  NPD

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

• Luminis Health Anne Arundel Medical Center, Inc.

  dba Conexus Laboratories Inc.

  • Clinical Medical Laboratory
  • Annapolis, MD
  • NPI 1356885032

  Hospital

  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1477517225
  Care Compare affiliation

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1922438357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371102",
            "telephone_number": "443-433-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371102",
            "telephone_number": "443-443-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOVITZ",
        "first_name": "MARYBETH",
        "middle_name": "GRANNIS",
        "credential": "CNM, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R175707",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "DC",
            "license": "RN1007233",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R175707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYBETH",
            "last_name": "GRANNIS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Minuteclinic LLC
• Holly Ann Mohr, MSRN PNP
• Caroline Batchelor Moore, PSYD
• Mary Moore, LCSW-C
• Francis Alexander Morgan, DDS
• Karalyn Mulligan, LCPC
• Timothy John Mulvihill Jr., A.T.,C.
• Rachel Mackenzie Munley, M.S., CF-SLP
• Terri Ann Murphy, OTR/L
• Timothy James Murphy III, DPT

• Psychiatric/Mental Health Nurse Practitioner in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.