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ANTONETTE SALLAY KANU CRNP, FNP-BC
NPI 1811570815
Nurse Practitioner - Family in Annapolis, MD

Active since April 28, 2021PECOS Enrolled
621 RIDGELY AVE STE 201, ANNAPOLIS, MD 21401(410) 224-4887(410) 224-1428 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Oct 13, 2023, Apr 28, 2021 (3 updates tracked since 2021).

About Antonette Sallay Kanu Crnp, Fnp-bc NPPES

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

ANTONETTE SALLAY KANU CRNP, FNP-BC (NPI 1811570815) is an individual family provider in Annapolis, Maryland, licensed in Maryland (R208761) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Annapolis.

NPPES Registry Identity

NPI1811570815
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANTONETTE SALLAY KANUCredential: CRNP, FNP-BC
Location Address621 RIDGELY AVE STE 201Annapolis, MD 21401-1083
Mailing Address9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866 · (410) 224-4887 · Fax (410) 224-1428
Phone(410) 224-4887
Fax(410) 224-1428
Sole ProprietorYes
Enumeration DateApril 28, 2021
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1811570815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R208761
621 RIDGELY AVE STE 201, Annapolis, MD 21401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1509 S Cherry Grove Ave Ste CAnnapolis, MD 21401-4235 · Phone (844) 322-4222 ext. 117 · Fax (443) 400-0509

Other Identifiers 2

Other2020092732Fnp-bc
OtherR208761MD · Crnp-family

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonette Sallay Kanu Crnp, Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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.

Other Providers at the Same Location NPPES 8

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

CHESAPEAKE DIGESTIVE ASSOCIATES, PC
Internal Medicine (Gastroenterology)
621 RIDGELY AVE STE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887
CARL A WHEELER CRNP
Nurse Practitioner (Family)
621 RIDGELY AVE STE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887
SHADI RAZMDJOU MD
Internal Medicine (Gastroenterology)
621 RIDGELY AVE STE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887
CHESAPEAKE DIGESTIVE ASSOCIATES, LLC
Non-Pharmacy Dispensing Site
621 RIDGELY AVE STE 201
ANNAPOLIS, MD 21401
Anne Arundel County (305) 468-4185
BRITTANY ELIZABETH DICKERT FNP
Nurse Practitioner (Family)
621 RIDGELY AVE STE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887
SAMANTHA BUTZKE MD
Pediatrics (Pediatric Gastroenterology)
621 RIDGELY AVE STE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887
ANESTHESIA COMPANY, LLC
Anesthesiology
621 RIDGELY AVE STE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-2811
CHESAPEAKE DIGESTIVE ASSOCIATES, PC
Internal Medicine (Gastroenterology)
621 RIDGELY AVE STE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887

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 Antonette Kanu's NPI number?

The NPI number for Antonette Kanu is 1811570815. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Antonette Kanu located?

Antonette Kanu practices at 621 Ridgely Ave Ste 201, Annapolis, MD 21401. The listed phone number is (410) 224-4887.

What is Antonette Kanu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Antonette Kanu enrolled in Medicare?

Yes. Antonette Kanu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonette Kanu was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.