MRS. KELLY J VASQUENZA C.R.N.P.
NPI 1770764870
Nurse Practitioner in Baltimore, MD
About Mrs. Kelly J Vasquenza C.r.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY J VASQUENZA C.R.N.P. (NPI 1770764870) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R127273) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly J Vasquenza C.r.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21287 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
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 Kelly Vasquenza's NPI number?
The NPI number for Kelly Vasquenza is 1770764870. It was assigned to this individual provider in the NPPES registry on November 16, 2007.
Where is Kelly Vasquenza located?
Kelly Vasquenza practices at 600 N Wolfe Street Blalock 904, Baltimore, MD 21287. The listed phone number is (410) 614-6222.
What is Kelly Vasquenza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Vasquenza enrolled in Medicare?
Yes. Kelly Vasquenza is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Vasquenza was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.
# Mrs. Kelly J Vasquenza, C.R.N.P. · NPI 1770764870
Nurse Practitioner physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since November 16, 2007.
## Identity
- **NPI:** 1770764870 (Entity type: Individual)
- **Enumerated:** November 16, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R127273 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 N WOLFE STREET, BLALOCK 904, Baltimore, MD 21287-0005
- **Phone:** (410) 614-6222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** August 13, 2026
- **Other identifiers:** Other T0910
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Source: [NPI Profile](https://npiprofile.com/npi/1770764870) · Data from the CMS NPPES public registry.