PRINCESS ANNE FAMILY PRACTICE
NPI 1831183169
Family Medicine in Princess Anne, MD

Active since September 01, 2005
30434 MOUNT VERNON RD, PRINCESS ANNE, MD 21853(410) 651-0350(410) 651-4857 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Princess Anne Family Practice NPPES

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

PRINCESS ANNE FAMILY PRACTICE (NPI 1831183169) is a healthcare organization registered as a family medicine in Princess Anne, Maryland and active in the NPI registry since September 2005. The organization lists Charles Donald Stegman, President, as its authorized official.

NPPES Registry Identity

NPI1831183169
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRINCESS ANNE FAMILY PRACTICE
Location Address30434 MOUNT VERNON RDPrincess Anne, MD 21853-1400
Mailing Address30434 Mount Vernon RdPrincess Anne, MD 21853-1400 · (410) 651-0350 · Fax (410) 651-4857
Fax(410) 651-4857
Organization SubpartNo
Authorized OfficialCharles Donald StegmanPresident · (410) 651-0350
Enumeration DateSeptember 1, 2005
Last NPPES UpdateDecember 4, 2007
✔ NPI 1831183169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
30434 MOUNT VERNON RD, Princess Anne, MD 21853

Other Identifiers 1

Medicare PIN668MMD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Princess Anne Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Princess Anne Family Practice, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1104023076
30434 MOUNT VERNON RD
Princess Anne, MD 21853
(410) 651-0350
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1184616419
30434 MOUNT VERNON RD
Princess Anne, MD 21853
(410) 651-0350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528619509
30434 MOUNT VERNON RD
Princess Anne, MD 21853
(410) 651-0350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508389685
1665 WOODBROOKE DR
Salisbury, MD 21804
(410) 546-6650
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0221294

Princess Anne Family Practice · Princess Anne, MD
Expired · Oct 2, 2026
CLIA Number21D0221294
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorCharles B. Hofmann
Laboratory Phone(410) 651-0350
Laboratory LocationPrincess Anne Family Practice30434 Mt Vernon Rd, Princess Anne, MD 21853
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Princess Anne Family Practice's NPI number?

The NPI number for Princess Anne Family Practice is 1831183169. It was assigned to this organization in the NPPES registry on September 1, 2005.

Where is Princess Anne Family Practice located?

Princess Anne Family Practice is located at 30434 Mount Vernon Rd, Princess Anne, MD 21853. The listed phone number is (410) 651-0350.

What is Princess Anne Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Princess Anne Family Practice enrolled in Medicare?

Yes. Princess Anne Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Princess Anne Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Princess Anne Family Practice, in Family Practice, Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Princess Anne Family Practice was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.