Individual provider Active NPI

Marshall James, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1992308696
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R192035 Issued in MD
Practice address
6221 Greenleigh Ave Unit 277
Baltimore, MD 21220-2018
Phone
(443) 519-6409
NPI assigned
Nov 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R192035 MD Primary

Addresses

Primary practice location

6221 Greenleigh Ave Unit 277
Baltimore, MD 21220-2018

Mailing address

6221 Greenleigh Ave Unit 277
Baltimore, MD 21220-2018
Phone (443) 519-6409

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
I20210322002265 MD Practitioner - Nurse Practitioner 0143637017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4470 Southern Business Park Dr
White Plains, MD 20695-2840
Phone (240) 585-5142

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
C&C Advocacy and Health Services, Inc. CurrentSince Aug 2, 2022 Accepting new patients
Maryland Psychiatric Care CurrentSince Jan 1, 2024 Accepting new patients

Locations

3655 Old Court Rd
Ste 12
Pikesville, MD 21208
Phone (410) 800-2545

4470 Southern Business Park Dr
White Plains, MD 20695
Phone (240) 585-5142

Organizations & group practices 2

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": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1992308696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 GREENLEIGH AVE UNIT 277",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202018",
            "telephone_number": "443-519-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 GREENLEIGH AVE UNIT 277",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202018",
            "telephone_number": "443-519-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MARSHALL",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R192035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.