Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Annelise Melissa Nentwick, CRNP-PMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1689495491

Dr. Annelise Melissa Nentwick, CRNP-PMH is a Nurse Practitioner in Glen Burnie, Maryland. Qualified in 2024, 2 years ago. Practices with Kinstead Provider Group, PA, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2024
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Practice location Address checks out

325 Hospital Dr Ste 106
Glen Burnie, MD 21061-5806
Phone: (443) 430-2998
Fax: (443) 431-8978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R239351 (MD)

Record details

NPI number1689495491
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-PMH
Sole proprietorNo
NPI enumeratedOctober 23, 2024
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kinstead Provider Group, P.A. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Glen Burnie