MRS. KRISTEN LEE SELF
NPI 1821602582
Nurse Practitioner - Pediatrics in Columbia, MD

Q: What is Kristen Self's NPI number?

The NPI number for Kristen Self is 1821602582. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Q: What is Kristen Self's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Self was last updated on September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 01, 2020PECOS Enrolled

5755 CEDAR LN, COLUMBIA, MD 21044(410) 884-4888 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Kristen Lee Self NPPES

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

MRS. KRISTEN LEE SELF (NPI 1821602582) is an individual pediatrics provider in Columbia, Maryland, licensed in Maryland (RN199892) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821602582

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. KRISTEN LEE SELF

Location Address5755 CEDAR LNColumbia, MD 21044-2999

Mailing Address5839 Brandons WayElkridge, MD 21075-7301 · (703) 509-3529

Phone(410) 884-4888

Sole ProprietorYes

Enumeration DateSeptember 1, 2020

NPPES CertifiedSeptember 1, 2020

✔ NPI 1821602582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MD · RN199892

5755 CEDAR LN, Columbia, MD 21044

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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. Kristen Lee Self 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 21044 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.

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