Individual provider Active NPI

Amberly Rose Smith, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1972158293
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R211681 Issued in MD
Practice address
600 E Belvedere Ave Ste a
Baltimore, MD 21212-3713
Phone
(410) 296-0018
NPI assigned
Aug 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 R211681 MD Primary

Addresses

Primary practice location

600 E Belvedere Ave Ste a
Baltimore, MD 21212-3713

Mailing address

600 E Belvedere Ave Ste a
Baltimore, MD 21212-3713
Phone (410) 296-0018

Other practice location 1

3349 Cheverly Ct
Abingdon, MD 21009-2854
Phone (443) 417-3365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210504001020 MD Practitioner - Nurse Practitioner 7214346220 Reassigns benefits to 2 organizations
I20220516002882 DC Practitioner - Nurse Practitioner 7214346220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 877-8087

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6500 Baltimore National Pike
Catonsville, MD 21228-4200
Phone (410) 807-8067

7825 York Rd
Towson, MD 21204-7445
Phone (443) 332-4353

8605 Ridgelys Choice Dr
Nottingham, MD 21236-2953
Phone (410) 248-2310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R211681MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince May 1, 2022 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince May 1, 2022 Accepting new patients
Medstar Urgent Care, LLC CurrentSince May 1, 2022 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
Umms Ambulatory Care LLC CurrentSince May 1, 2021 Accepting new patients
Umms Ambulatory Care LLC CurrentSince May 1, 2021 Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

600 E Belvedere Ave
Ste A
Baltimore, MD 21212
Phone (410) 296-0018

1321 Riverside Pkwy
Belcamp, MD 21017
Phone (410) 272-8741

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 7

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": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1972158293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E BELVEDERE AVE STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123713",
            "telephone_number": "410-296-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BELVEDERE AVE STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123713",
            "telephone_number": "410-296-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3349 Cheverly Ct",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "MD",
            "postal_code": "210092854",
            "country_code": "US",
            "telephone_number": "443-417-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMBERLY",
        "middle_name": "ROSE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R211681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.