FREE STATE HEALTH AND WELLNESS, LLC
NPI 1902324130
Nurse Practitioner - Family in Crownsville, MD

Active since September 08, 2017
43 COMMUNITY PL, CROWNSVILLE, MD 21032(440) 570-9428 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2023, Jan 10, 2022, Jan 30, 2020 and 1 more (4 updates tracked since 2017).

About Free State Health And Wellness, Llc NPPES

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

FREE STATE HEALTH AND WELLNESS, LLC (NPI 1902324130) is a healthcare organization registered as a family in Crownsville, Maryland and active in the NPI registry since September 2017. The organization lists Melissa Ward, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1902324130
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFREE STATE HEALTH AND WELLNESS, LLC
Location Address43 COMMUNITY PLCrownsville, MD 21032-2034
Mailing Address100 Middletown Pkwy Unit 202Middletown, MD 21769-7767 · (240) 647-9049
Organization SubpartNo
Authorized OfficialMelissa WardNurse Practitioner · (440) 570-9428
Enumeration DateSeptember 8, 2017
Last NPPES UpdateMarch 16, 20234 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1902324130 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
43 COMMUNITY PL, Crownsville, MD 21032

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Free State Health And Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Free State Health And Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1356992564
43 COMMUNITY PL
Crownsville, MD 21032
(410) 975-0067
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447995030
1380 PROGRESS WAY STE 102
Eldersburg, MD 21784
(410) 795-0257
✔ PECOS32 mi
Nurse Practitioner
NPI 1518421973
5 N BENTZ ST
Frederick, MD 21701
(240) 647-9049
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1841363702
365 W PATRICK ST FL 205
Frederick, MD 21701
(240) 647-9049
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1568848687
365 W PATRICK ST FL 205
Frederick, MD 21701
(240) 647-9049
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1790482628
18615 PRESTON RD
Hagerstown, MD 21742
(304) 481-4627
✔ PECOS✔ Accepts Medicare75 mi

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

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 Free State Health And Wellness, LLC's NPI number?

The NPI number for Free State Health And Wellness, LLC is 1902324130. It was assigned to this organization in the NPPES registry on September 8, 2017.

Where is Free State Health And Wellness, LLC located?

Free State Health And Wellness, LLC is located at 43 Community Pl, Crownsville, MD 21032. The listed phone number is (440) 570-9428.

What is Free State Health And Wellness, LLC's specialty?

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

Is Free State Health And Wellness, LLC enrolled in Medicare?

Yes. Free State Health And Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Free State Health And Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Free State Health And Wellness, LLC. 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, 1 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 Free State Health And Wellness, LLC was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.