Active NPI
Kirsten Ann Groff, RNC-NIC, MSN, CRNP
- Neonatal Nurse Practitioner
- Annapolis, MD
National Provider Identifier
1942879523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- R217062
- Practice address
- 2001 Medical Pkwy
Annapolis, MD 21401-3773 - Phone
- (443) 481-6962
- NPI assigned
- Jun 18, 2021
- Last updated
- Jun 20, 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | R217062 | MD | Primary |
| Neonatal Nurse Practitioner | 363LN0000X | APRN11040316 | FL | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | R217062 | MD | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | R217062 | MD |
Addresses
Primary practice location
2001 Medical Pkwy
Annapolis, MD 21401-3773
Mailing address
4016 Apple Jack CT
Pasadena, MD 21122-4133
Phone (410) 703-7754
Other practice location 1
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 596-6632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11040316 | FL | MD | Neonatal Nurse Practitioner |
| R217062 | MD | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1942879523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4016 APPLE JACK CT",
"city": "PASADENA",
"state": "MD",
"postal_code": "211224133",
"telephone_number": "410-703-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MEDICAL PKWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013773",
"telephone_number": "443-481-6962"
}
],
"practiceLocations": [
{
"address_1": "11375 Cortez Blvd",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346135409",
"country_code": "US",
"telephone_number": "352-596-6632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROFF",
"first_name": "KIRSTEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RNC-NIC, MSN, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MD",
"license": "R217062",
"primary": true
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "APRN11040316",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "MD",
"license": "R217062",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MD",
"license": "R217062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.