HEALTHPORT
NPI 1154320646
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salisbury, MD
About Healthport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHPORT (NPI 1154320646), doing business as Lower Shore Clinic, Inc, is a healthcare organization registered as a mental health (including community mental health center) in Salisbury, Maryland and active in the NPI registry since July 2005. The organization holds 4 active CLIA laboratory certificates and lists Kristine Gartlitz, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healthport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Healthport, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2043928
Healthport · Salisbury, MDCertificate of Waiver 21D2236182
Healthport · Newark, MDCertificate of Waiver 21D2236183
Healthport · Princess Anne, MDCertificate of Waiver 21D2236184
Healthport · Cambridge, MDFrequently 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 Healthport's NPI number?
The NPI number for Healthport is 1154320646. It was assigned to this organization in the NPPES registry on July 18, 2005. The provider was formerly known as Lower Shore Clinic, Inc.
Where is Healthport located?
Healthport is located at 505 E Main St, Salisbury, MD 21804. The listed phone number is (410) 341-3420.
What is Healthport's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Healthport enrolled in Medicare?
Yes. Healthport is registered in the Medicare PECOS enrollment system.
When is Healthport's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Healthport?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Healthport. A 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 the clinician's services. The largest specialties are Nurse Practitioner (8), Clinical Social Worker (3) and Mental Health Counselor (3). Of these, 13 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Healthport hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Healthport was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Healthport · NPI 1154320646
Mental Health (Including Community Mental Health Center) organization in Salisbury, Maryland. Organization record, active in the CMS NPPES registry since July 18, 2005.
## Identity
- **NPI:** 1154320646 (Entity type: Organization)
- **Enumerated:** July 18, 2005
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Lower Shore Clinic, Inc (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Kristine Gartlitz, VICE PRESIDENT
## Practice location
- **Address:** 505 E MAIN ST, Salisbury, MD 21804
- **Phone:** (410) 341-3420 · **Fax:** (410) 341-3397
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 15 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Clinical Social Worker (3), Mental Health Counselor (3); 13 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2025
- **Other identifiers:** Medicaid 298470900 (MD); Other LS92 (MD)
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154320646) · Data from the CMS NPPES public registry.