Katie Michael Clements – Family Nurse Practitioner

Key facts

NPI: 1952954331
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: R217355 (MD)
Practice address: 1509 Ritchie Hwy
Arnold, MD 21012-2742
Phone: (410) 757-7600
NPI assigned: Jul 24, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Maryland Primary Care Physicians, LLC Multi-Specialty Clinic/Center · Annapolis, MD · NPI 1083667067

Medicare reassignment Care Compare group NPD MD

Hospital & facility affiliations 2

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

Luminis Health Anne Arundel Medical Center, Inc. Clinical Medical Laboratory · Annapolis, MD · NPI 1356885032

Care Compare affiliation Hospital
Luminis Health Anne Arundel Medical Center, Inc. General Acute Care Hospital · Annapolis, MD · NPI 1477517225

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2019
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Maryland Primary Care Physicians, LLC (101 clinicians)

Practice addresses (Care Compare)

1509 Ritchie Hwy
Arnold, MD 21012-2742
Phone (410) 757-7600

Hospital & facility affiliations

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

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20191023000539	MD	Practitioner - Nurse Practitioner	8224360367	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Maryland Primary Care Physicians, LLC		Current since Sep 23, 2019	Accepting new patients

Locations

1509 Ritchie Hwy
Arnold, MD 21012
Phone (410) 757-1600

7580 Buckingham Blvd
Ste 220
Hanover, MD 21076
Phone (410) 729-5100

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	R217355	MD	Yes

Addresses

Primary practice location

1509 Ritchie Hwy
Arnold, MD 21012-2742

Mailing address

7580 Buckingham Blvd Ste 220
Hanover, MD 21076-3210
Phone (410) 729-5100

Other providers in Arnold, MD

Chesapeake Dialysis Clinic LLC
Daniel G. Chesla, P.T.
Susan Chisholm, RN, CRNP
Jamie Lee Christy, LCSW-C
Ginger Lee Clark, P.T.
Pamela Sue Cochran, RN
Kelini Coker, LCPC
Sheri B Coleman, CRNP
Jessica Ami Collins, LCSW-C
Comfort on the Severn Home Care Services LLC

All providers in Arnold, MD · Family Nurse Practitioner in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.