MARCIA HARTON CRNP
NPI 1164965935
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since November 29, 2016PECOS EnrolledAccepts Medicare Assignment
86.67/100
CMS Quality Rating
4201 PRIMROSE AVE, BALTIMORE, MD 21215(410) 303-3867 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marcia Harton Crnp NPPES

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

MARCIA HARTON CRNP (NPI 1164965935) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R154978) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Umd Rehabilitation & Orthopaedic Institute, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164965935
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARCIA HARTONCredential: CRNP
Location Address4201 PRIMROSE AVEBaltimore, MD 21215-3305
Mailing Address4201 Primrose AveBaltimore, MD 21215-3305 · (410) 303-3867
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 29, 2016
NPI 1164965935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R154978
4201 PRIMROSE AVE, Baltimore, MD 21215

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

Marcia Harton Crnp 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 ID9830466747
PECOS Enrollment IDI20170525000163
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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
53 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Umd Rehabilitation & Orthopaedic Institute

Acute Care Hospitals · Baltimore, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210058
Location2200 Kernan DriveBaltimore, MD 21207 · Baltimore County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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.

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.

86.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.03
Promoting Interoperability100
Improvement Activities40
Cost65.53

Other Providers at the Same Location NPPES 18

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

Counselor (Mental Health)
4201 PRIMROSE AVE
BALTIMORE, MD 21215
Nurse Practitioner (Psychiatric/Mental Health)
4201 PRIMROSE AVE
BALTIMORE, MD 21215
Day Training, Developmentally Disabled Services
4201 PRIMROSE AVE
BALTIMORE, MD 21215
Nurse Practitioner (Psychiatric/Mental Health)
4201 PRIMROSE AVE
BALTIMORE, MD 21215
Social Worker (Clinical)
4201 PRIMROSE AVE
BALTIMORE, MD 21215
Clinic/Center (Primary Care)
4201 PRIMROSE AVE
BALTIMORE, MD 21215
Social Worker
4201 PRIMROSE AVE
BALTIMORE, MD 21215
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4201 PRIMROSE AVE
BALTIMORE, MD 21215

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 Marcia Harton's NPI number?

The NPI number for Marcia Harton is 1164965935. It was assigned to this individual provider in the NPPES registry on November 29, 2016.

Where is Marcia Harton located?

Marcia Harton practices at 4201 Primrose Ave, Baltimore, MD 21215. The listed phone number is (410) 303-3867.

What is Marcia Harton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marcia Harton enrolled in Medicare?

Yes. Marcia Harton 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 Marcia Harton affiliated with any hospitals?

According to CMS data, Marcia Harton is affiliated with Umd Rehabilitation & Orthopaedic Institute.

When was this NPI record last updated?

The NPPES record for Marcia Harton was last updated on November 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.