CHRISTINE MARIE HABERSAAT CPNP
NPI 1023517869
Nurse Practitioner - Pediatrics in Glen Burnie, MD
About Christine Marie Habersaat Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTINE MARIE HABERSAAT CPNP (NPI 1023517869) is an individual pediatrics provider in Glen Burnie, Maryland, licensed in Maryland (R206783) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christine Marie Habersaat Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Christine Habersaat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Christine Habersaat's NPI number?
The NPI number for Christine Habersaat is 1023517869. It was assigned to this individual provider in the NPPES registry on February 7, 2018.
Where is Christine Habersaat located?
Christine Habersaat practices at 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061. The listed phone number is (410) 582-9434.
What is Christine Habersaat's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Christine Habersaat enrolled in Medicare?
Yes. Christine Habersaat is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Christine Habersaat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christine Habersaat reassigns Medicare benefits to Lifebridge Suburban Physician Group II LLC (Glen Burnie, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christine Habersaat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Christine Habersaat was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Christine Marie Habersaat, CPNP · NPI 1023517869
Pediatrics physician in Glen Burnie, Maryland. Individual provider, active in the CMS NPPES registry since February 7, 2018.
## Identity
- **NPI:** 1023517869 (Entity type: Individual)
- **Enumerated:** February 7, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R206783 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1405 MADISON PARK DR STE 1, Glen Burnie, MD 21061-5864
- **Phone:** (410) 582-9434
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lifebridge Suburban Physician Group II LLC (NPI 1619427978, Glen Burnie, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1023517869) · Data from the CMS NPPES public registry.