KATHY LYNN BRISTOW CRNP-PMHBC
NPI 1730773425
Nurse Practitioner - Psychiatric/Mental Health in Conowingo, MD
About Kathy Lynn Bristow Crnp-pmhbc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHY LYNN BRISTOW CRNP-PMHBC (NPI 1730773425) is an individual psychiatric/mental health provider in Conowingo, Maryland, licensed in Maryland (R096544) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bel Air, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathy Lynn Bristow Crnp-pmhbc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kathy Bristow reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Conowingo, MD 21918
- Reassigned Medicare billing, Maryland enrollment
- 24 clinicians in this Medicare group
Bel Air, MD 21014
- Reassigned Medicare billing, Maryland enrollment
- 158 clinicians in this Medicare group
Bel Air, MD 21014
- Reassigned Medicare billing, Maryland enrollment
- 48 clinicians in this Medicare group
Baltimore, MD 21212
- Reassigned Medicare billing, Maryland enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21918 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kathy Bristow's NPI number?
The NPI number for Kathy Bristow is 1730773425. It was assigned to this individual provider in the NPPES registry on February 24, 2021.
Where is Kathy Bristow located?
Kathy Bristow practices at 49 Rock Springs Rd, Conowingo, MD 21918. The listed phone number is (410) 378-9696.
What is Kathy Bristow's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kathy Bristow enrolled in Medicare?
Yes. Kathy Bristow is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathy Bristow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Bristow reassigns Medicare benefits to 4 organizations: West Cecil Health Center Inc. (Conowingo, MD), Upper Chesapeake Medical Services, Inc (Bel Air, MD), Harford Crisis Center, Inc. (Bel Air, MD) and Angel Hands Behavioral Health (Baltimore, MD). Each 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 Kathy Bristow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathy Bristow was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kathy Lynn Bristow, CRNP-PMHBC · NPI 1730773425
Psychiatric/Mental Health physician in Conowingo, Maryland. Individual provider, active in the CMS NPPES registry since February 24, 2021.
## Identity
- **NPI:** 1730773425 (Entity type: Individual)
- **Enumerated:** February 24, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R096544 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 49 ROCK SPRINGS RD, Conowingo, MD 21918-1352
- **Phone:** (410) 378-9696 · **Fax:** (410) 378-9922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): West Cecil Health Center Inc. (NPI 1366625089, Conowingo, MD); Upper Chesapeake Medical Services, Inc (NPI 1497801419, Bel Air, MD); Harford Crisis Center, Inc. (NPI 1508334459, Bel Air, MD); Angel Hands Behavioral Health (NPI 1235760257, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730773425) · Data from the CMS NPPES public registry.