Individual provider Active NPI

Renee C Feller, MS, APRN/PMH

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Pikesville, MD
National Provider Identifier
1952499642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RO90533 Issued in MD
Practice address
2 Reservoir Cir
Suite 201
Pikesville, MD 21208-6393
Phone
(410) 484-0809
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RO90533 MD Primary

Addresses

Primary practice location

2 Reservoir Cir
Suite 201
Pikesville, MD 21208-6393

Mailing address

8816 Orchard Rd
Pikesville, MD 21208-1112
Phone (410) 602-2124

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
I20061020000199 MD Practitioner - Certified Clinical Nurse Specialist (CNS) 8820094592 Practice locations: Baltimore,, MD

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Hamlet Hill Rd
Unit 802
Baltimore, MD 21210-1512
Phone (443) 742-9649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
RO90533MDMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952499642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 ORCHARD RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081112",
            "telephone_number": "410-602-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RESERVOIR CIR",
            "address_2": "SUITE 201",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086393",
            "telephone_number": "410-484-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "RENEE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MS, APRN/PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "RO90533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.