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KRISTEN ASHLEY CUSTER
NPI 1144994401
Nurse Practitioner - Family in Frederick, MD

Active since August 02, 2021PECOS EnrolledAccepts Medicare Assignment
80.25/100
CMS Quality Rating
501 W SEVENTH ST, FREDERICK, MD 21701(301) 639-6784 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristen Ashley Custer NPPES

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

KRISTEN ASHLEY CUSTER (NPI 1144994401) is an individual family provider in Frederick, Maryland, licensed in Maryland (R190775) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of University Of Maryland School Of Medicine (2021).

NPPES Registry Identity

NPI1144994401
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN ASHLEY CUSTER
Location Address501 W SEVENTH STFrederick, MD 21701-4586
Mailing Address501 W Seventh StFrederick, MD 21701-4586
Phone(301) 639-6784
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2021
Enumeration DateAugust 2, 2021
NPPES CertifiedJune 30, 2021
✔ NPI 1144994401 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 · R190775
501 W SEVENTH ST, Frederick, MD 21701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristen Ashley Custer is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052716321
PECOS Enrollment IDI20210825000489
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
248 services237 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
44 services44 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
40 services39 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
30 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21701 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Promoting Interoperability100
Improvement Activities40
Cost54.89

Other Providers at the Same Location NPPES 2

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

SAMANTHA L MCDONALD CRNP
Nurse Practitioner (Acute Care)
501 W SEVENTH ST, SUITE D
FREDERICK, MD 21701
Frederick County (301) 694-5861
LEONARD SURGICAL CARE ASSOCIATES, LLC
Surgery
501 W SEVENTH ST, SUITE D
FREDERICK, MD 21701
Frederick County (301) 694-5154

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 Kristen Custer's NPI number?

The NPI number for Kristen Custer is 1144994401. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Kristen Custer located?

Kristen Custer practices at 501 W Seventh St, Frederick, MD 21701. The listed phone number is (301) 639-6784.

What is Kristen Custer's specialty?

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

Is Kristen Custer enrolled in Medicare?

Yes. Kristen Custer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kristen Custer affiliated with any hospitals?

According to CMS data, Kristen Custer is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Custer was last updated on August 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.