Individual provider Active NPI

Glenda T McCarter, CRNP

  • Nurse Practitioner
  • Easton, MD
National Provider Identifier
1982771119
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R088365 Issued in MD
Practice address
510 Idlewild Ave Ste 200
Easton, MD 21601-3883
Phone
(410) 820-8226
Fax
(410) 820-8405
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R088365 MD
Nurse Practitioner 363L00000X R088365 MD Primary

Addresses

Primary practice location

510 Idlewild Ave Ste 200
Easton, MD 21601-3883

Mailing address

510 Idlewild Ave Ste 200
Easton, MD 21601-3883
Phone (410) 820-8226

Other identifiers 6

IdentifierTypeStateIssuer
S326-0005OtherMDFEDERAL BCBS
52-2321672OtherINFORMED
754235600MedicaidMD
75868109OtherMDCAREFIRST BCBC
0622134OtherMDCIGNA
52-2321672OtherTRICARE

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
I20080423000200 MD Practitioner - Nurse Practitioner 5496833006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Orthopedics, IncGroup PAC ID 8628367885, 29 clinicians

Practice addresses (Care Compare)

510 Idlewild Ave
Suite 200
Easton, MD 21601-3883
Phone 4108208226107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R088365MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Orthopedics, Inc CurrentSince Sep 24, 2018 Accepting new patients
Shore Orthopedics, Inc. CurrentSince Sep 24, 2018 Accepting new patients
Privia Care Center LLC CurrentSince Oct 3, 2018 Accepting new patients
Privia Care Center LLC CurrentSince Oct 3, 2018 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

510 Idlewild Ave
Easton, MD 21601
Phone (410) 820-8226

510 Idlewild Ave
Ste 200
Easton, MD 21601
Phone (410) 820-8226

125 Shoreway Dr
Ste 270
Queenstown, MD 21658
Phone (410) 820-8226

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • Direct secure messaging: glendamccarter@toc.allscriptsdirect.net

Organizations & group practices 5

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 6

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1982771119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE STE 200",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013883",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE STE 200",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013883",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTER",
        "first_name": "GLENDA",
        "middle_name": "T",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R088365",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R088365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "S326-0005",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFORMED",
            "identifier": "52-2321672",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754235600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBC",
            "identifier": "75868109",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0622134",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "52-2321672",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.