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KATHLEEN SUZANNE ODELL CRNP-FAMILY
NPI 1104330109
Nurse Practitioner - Family in Baltimore, MD

Active since November 29, 2017PECOS Enrolled
1017 E BALTIMORE ST, BALTIMORE, MD 21202(410) 675-7500(443) 230-0059 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathleen Suzanne Odell Crnp-family NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN SUZANNE ODELL CRNP-FAMILY (NPI 1104330109) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R128442) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104330109
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN SUZANNE ODELLCredential: CRNP-FAMILY
Location Address1017 E BALTIMORE STBaltimore, MD 21202-4705
Mailing AddressPo Box 103Severna Park, MD 21146-0103 · (410) 675-7500 · Fax (443) 230-0059
Phone(410) 675-7500
Fax(443) 230-0059
Sole ProprietorNo
Enumeration DateNovember 29, 2017
✔ NPI 1104330109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R128442
1017 E BALTIMORE ST, Baltimore, MD 21202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Suzanne Odell Crnp-family is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Odell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Alliance Associates, Inc.
0.8 mi
General Practice
13 HAMILTON STREET
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • 3 clinicians in this Medicare group
NPI 1437549466 (410) 675-7500

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 21202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GBMC HEALTH PARTNERS AT HELPING UP MISSION, LLC
General Practice
1017 E BALTIMORE ST, GROUND FLOOR
BALTIMORE, MD 21202
Baltimore City (410) 826-0170
EMERITA GUADALUPE PORTILLO GARCIA MD
Family Medicine
1017 E BALTIMORE ST
BALTIMORE, MD 21202
Baltimore City (410) 826-0170
PEOPLES COMMUNITY HEALTH CENTER , INC.
Clinic/Center (Community Health)
1017 E BALTIMORE ST
BALTIMORE, MD 21202
Baltimore City (410) 467-6040
HEALTH ALLIANCE ASSOCIATES, INC.
Counselor (Professional)
1017 E BALTIMORE ST
BALTIMORE, MD 21202
Baltimore City (410) 675-7500
LASHANDA ROBERTS
Nurse Practitioner (Family)
1017 E BALTIMORE ST
BALTIMORE, MD 21202
Baltimore City (410) 802-0170

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 Kathleen Odell's NPI number?

The NPI number for Kathleen Odell is 1104330109. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Kathleen Odell located?

Kathleen Odell practices at 1017 E Baltimore St, Baltimore, MD 21202. The listed phone number is (410) 675-7500.

What is Kathleen Odell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Odell enrolled in Medicare?

Yes. Kathleen Odell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Odell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Odell reassigns Medicare benefits to Health Alliance Associates, Inc. (Baltimore, 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 Kathleen Odell'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 Kathleen Odell was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.