DARLENE M FUCHS C.R.N.P.
NPI 1346288016
Nurse Practitioner in Baltimore, MD

Active since June 03, 2006PECOS Enrolled
74.39/100
CMS Quality Rating
5501 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224(410) 550-0925 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darlene M Fuchs C.r.n.p. NPPES

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

DARLENE M FUCHS C.R.N.P. (NPI 1346288016) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R087186) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346288016
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDARLENE M FUCHSCredential: C.R.N.P.
Location Address5501 HOPKINS BAYVIEW CIRBaltimore, MD 21224-6821
Mailing AddressPo Box 64264Baltimore, MD 21264-4264
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateJanuary 23, 2014
NPI 1346288016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MD · R087186
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5501 HOPKINS BAYVIEW CIR, Baltimore, MD 21224

Other Identifiers 3

Medicaid229701900MD
Medicare PIN144ME981MD
Medicare UPINS74952MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Darlene M Fuchs C.r.n.p. 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.

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.

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.
37 services33 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers20 claims47 services$6.46 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$30.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Specialist/Technologist, Pathology (Immunology)
5501 HOPKINS BAYVIEW CIR, ROOM 1A20, JH ASTHMA ALLERGY CENTER
BALTIMORE, MD 21224
Nurse Practitioner (Adult Health)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Psychiatry & Neurology (Neurology)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Psychologist (Clinical)
5501 HOPKINS BAYVIEW CIR, ROOM 4B.74
BALTIMORE, MD 21224
Internal Medicine
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Pulmonary Disease)
5501 HOPKINS BAYVIEW CIR, 4TH FLOOR
BALTIMORE, MD 21224
Nurse Practitioner (Family)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Pulmonary Disease)
5501 HOPKINS BAYVIEW CIR, ASTHMA AND ALLERGY BUILDING 4TH FLOOR
BALTIMORE, MD 21224

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 Darlene Fuchs's NPI number?

The NPI number for Darlene Fuchs is 1346288016. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Darlene Fuchs located?

Darlene Fuchs practices at 5501 Hopkins Bayview Cir, Baltimore, MD 21224. The listed phone number is (410) 550-0925.

What is Darlene Fuchs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Darlene Fuchs enrolled in Medicare?

Yes. Darlene Fuchs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Darlene Fuchs was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.