Stephanie Ann Affeldt, CRNP
Individual provider Active NPI Adult Health Nurse Practitioner · Silver Spring, MD
NPI 1982169918 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1982169918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- R182125 (MD)
- Practice address
- 1500 Forest Glen Rd
Silver Spring, MD 20910-1460 - Phone
- (301) 754-7000
- NPI assigned
- Feb 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Paul Place Specialists, Inc.
Practice addresses (Care Compare)
301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-2800
Hospital & facility affiliations
- Mercy Medical Center Inc
- Medstar Franklin Square Medical Center
- Saint Agnes Hospital
- Greater Baltimore Medical Center
- Medstar Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.13 of 100
- Quality
- 56.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- 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 |
|---|---|---|---|---|
| I20191107003094 | MD | Practitioner - Nurse Practitioner | 9133551419 | Reassigns benefits to 1 organization |
| I20191217001695 | DC | Practitioner - Nurse Practitioner | 9133551419 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R182125 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Paul Place Specialists Inc | Current |
Accepting new patients | |
| Saint Paul Place Specialists, Inc. | Current |
Accepting new patients | |
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Saint Paul Place Specialists, Inc. | Past | Accepting new patients |
Locations
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
7927 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 494-9099
11121 York Rd
Hunt Valley, MD 21030
Phone (410) 628-0026
Interoperability endpoints
- saffeldt95402@direct.mdmercy.com
- swagner1141656@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R182125 | MD | Yes |
Addresses
Primary practice location
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Mailing address
5960 Watch Chain Way Apt 1205
Columbia, MD 21044-3717
Phone (443) 813-1413
Other names
- Stephanie Ann Wagner
Other providers in Silver Spring, MD
- Afbrima Home Care LLC
- Gifty Afeta
- Saba Afewerki
- Eskinder Afework
- Biniam Yohannes Afeworki
- Affiliated Pet Systems LLC
- Affiliated Sante Group
- Affiliated Sante Group
- Affinity Community Development, Inc.
- Affinity Sports & Rehabilitaion Physical Therapy
All providers in Silver Spring, MD · Adult Health 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 Apr 12, 2023. 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.