NICOLE GRIFFIN CRNP
NPI 1316348915
Nurse Practitioner - Family in Leonardtown, MD

Active since September 15, 2014PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
26020 POINT LOOKOUT RD, LEONARDTOWN, MD 20650(866) 389-2727 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Griffin Crnp NPPES

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

NICOLE GRIFFIN CRNP (NPI 1316348915) is an individual family provider in Leonardtown, Maryland, licensed in Maryland (R133590) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1316348915
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE GRIFFINCredential: CRNP
Location Address26020 POINT LOOKOUT RDLeonardtown, MD 20650-2001
Mailing Address26020 Point Lookout RdLeonardtown, MD 20650-2001 · (866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 15, 2014
NPI 1316348915 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 · R133590
26020 POINT LOOKOUT RD, Leonardtown, MD 20650

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

Nicole Griffin 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 ID1759503170
PECOS Enrollment IDI20141119000484
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 9

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 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.
170 services133 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
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.
24 services24 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20650 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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.91
Promoting Interoperability100
Improvement Activities40
Cost48.97

Other Providers at the Same Location NPPES 9

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

Pharmacist
26020 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Pharmacist
26020 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Pharmacist
26020 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Pharmacist
26020 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Nurse Practitioner (Family)
26020 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Nurse Practitioner (Family)
26020 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Pharmacist
26020 POINT LOOKOUT RD
LEONARDTOWN, MD 20650
Pharmacy
26020 POINT LOOKOUT RD
LEONARDTOWN, MD 20650

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 Nicole Griffin's NPI number?

The NPI number for Nicole Griffin is 1316348915. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is Nicole Griffin located?

Nicole Griffin practices at 26020 Point Lookout Rd, Leonardtown, MD 20650. The listed phone number is (866) 389-2727.

What is Nicole Griffin's specialty?

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

Is Nicole Griffin enrolled in Medicare?

Yes. Nicole Griffin 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.

When was this NPI record last updated?

The NPPES record for Nicole Griffin was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.