CAROL SUMMERS CRNP
NPI 1780066761
Nurse Practitioner - Family in Severna Park, MD
About Carol Summers Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL SUMMERS CRNP (NPI 1780066761) is an individual family provider in Severna Park, Maryland, licensed in Maryland (R116883) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.
NPPES Registry Identity
Specialties & Licenses 2
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)
Carol Summers Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carol Summers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 172 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21146 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEVERNA PARK, MD 21146
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 Carol Summers's NPI number?
The NPI number for Carol Summers is 1780066761. It was assigned to this individual provider in the NPPES registry on June 25, 2015.
Where is Carol Summers located?
Carol Summers practices at 645 Baltimore Annapolis Blvd Ste 105, Severna Park, MD 21146. The listed phone number is (410) 793-5212.
What is Carol Summers's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carol Summers enrolled in Medicare?
Yes. Carol Summers is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carol Summers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Summers reassigns Medicare benefits to University Of Maryland Pediatric Associates, PA (Baltimore, MD). The 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 Carol Summers'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 Carol Summers was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Carol Summers, CRNP · NPI 1780066761
Family physician in Severna Park, Maryland. Individual provider, active in the CMS NPPES registry since June 25, 2015.
## Identity
- **NPI:** 1780066761 (Entity type: Individual)
- **Enumerated:** June 25, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R116883 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 645 BALTIMORE ANNAPOLIS BLVD STE 105, Severna Park, MD 21146-3956
- **Phone:** (410) 793-5212 · **Fax:** (410) 793-5779
## 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:** University Of Maryland Pediatric Associates, PA (NPI 1679685804, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780066761) · Data from the CMS NPPES public registry.