Individual provider Active NPI

Meredith Fae Sagal, CRNP

  • Family Nurse Practitioner
  • Hunt Valley, MD
National Provider Identifier
1932644457
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R195908 Issued in MD
Practice address
10153 York Rd Ste 104
Hunt Valley, MD 21030-3398
Phone
(410) 472-1006
Fax
(410) 472-0900
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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 R195908 MD Primary

Addresses

Primary practice location

10153 York Rd Ste 104
Hunt Valley, MD 21030-3398

Mailing address

10153 York Rd Ste 104
Hunt Valley, MD 21030-3398
Phone (410) 472-1006

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171114002670 MD Practitioner - Nurse Practitioner 4486936036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology Group LLCGroup PAC ID 2466728282, 6 clinicians

Practice addresses (Care Compare)

6021 University Blvd
Suite 390
Ellicott City, MD 21043-6087
Phone (410) 203-0607

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R195908MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology Group, LLC CurrentSince Sep 1, 2020 Accepting new patients
Integrated Dermatology Group, LLC CurrentSince Sep 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Englert Dermatology, LLC Past Accepting new patients

Locations

8890 McGaw Rd
Ste 150
Columbia, MD 21045
Phone (410) 203-0607

6021 University Blvd
Ste 390
Ellicott City, MD 21043
Phone (410) 203-0607

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1932644457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10153 YORK RD STE 104",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210303398",
            "telephone_number": "410-472-1006",
            "fax_number": "410-472-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10153 YORK RD STE 104",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210303398",
            "telephone_number": "410-472-1006",
            "fax_number": "410-472-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGAL",
        "first_name": "MEREDITH",
        "middle_name": "FAE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R195908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.