Individual provider Active NPI

Brianna Catherine Prinz, PA-C

  • Physician Assistant
  • Chestertown, MD
National Provider Identifier
1982485504
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C09097 Issued in MD
Practice address
818 High St Ste 2
Chestertown, MD 21620-1152
Phone
(410) 778-9094
Fax
(410) 620-4952
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C09097 MD Primary

Addresses

Primary practice location

818 High St Ste 2
Chestertown, MD 21620-1152

Mailing address

818 High St Ste 2
Chestertown, MD 21620-1152
Phone (410) 778-9094

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
I20231127000414 MD Practitioner - Physician Assistant 5890143218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 Talbot Blvd
Suite W
Chestertown, MD 21620-3000
Phone (410) 778-3445

201 Talbot Blvd W
Chestertown Ortho
Chestertown, MD 21620-3000
Phone (410) 778-3445

818 High St
Bay
Chestertown, MD 21620-1152
Phone (410) 778-9094

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 26, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 26, 2023 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

201 Talbot Blvd
Ste W
Chestertown, MD 21620
Phone (410) 778-3445

818 High St
Ste 2
Chestertown, MD 21620
Phone (410) 778-9094

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1982485504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 HIGH ST STE 2",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201152",
            "telephone_number": "410-778-9094",
            "fax_number": "410-620-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 HIGH ST STE 2",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201152",
            "telephone_number": "410-778-9094",
            "fax_number": "410-620-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINZ",
        "first_name": "BRIANNA",
        "middle_name": "CATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C09097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.