HEALTHPORT
NPI 1417424466
Community/Behavioral Health in Cambridge, MD
About Healthport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHPORT (NPI 1417424466), doing business as Lower Shore Clinic, Inc, is a healthcare organization registered as a community/behavioral health in Cambridge, Maryland and active in the NPI registry since October 2018. The organization lists Kristine Gartlitz, Clinic Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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, 1 practice at this address. 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.
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 Healthport's NPI number?
The NPI number for Healthport is 1417424466. It was assigned to this organization in the NPPES registry on October 29, 2018. The provider was formerly known as Lower Shore Clinic, Inc.
Where is Healthport located?
Healthport is located at 828 Airpax Rd # 600B, Cambridge, MD 21613. The listed phone number is (443) 493-2429.
What is Healthport's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Healthport was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 1417424466
Community/Behavioral Health organization in Cambridge, Maryland. Organization record, active in the CMS NPPES registry since October 29, 2018.
## Identity
- **NPI:** 1417424466 (Entity type: Organization)
- **Enumerated:** October 29, 2018
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Also known as:** Lower Shore Clinic, Inc (Former Legal Business Name)
- **Organization subpart:** Yes (part of Healthport)
- **Authorized official:** Kristine Gartlitz, CLINIC DIRECTOR
## Practice location
- **Address:** 828 AIRPAX RD # 600B, Cambridge, MD 21613-6401
- **Phone:** (443) 493-2429
## 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); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417424466) · Data from the CMS NPPES public registry.