Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Dibenedetto, CRNP

Individual provider Adult Health Nurse Practitioner · NPI 1699259580

Keith Dibenedetto, CRNP is a Nurse Practitioner in Hunt Valley, Maryland. Qualified in 2018, 8 years ago. Practices with Maryland Family Care Inc, a 158-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

11121 York Rd
Hunt Valley, MD 21030-2006
Phone: (410) 628-2026
Fax: (410) 667-6834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence R210044 (MD)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence R210044 (MD)

Record details

NPI number1699259580
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Maryland Family Care Inc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hunt Valley