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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1730677121

Michelle Lynn Ridgeway, CRNP is a Nurse Practitioner in Frederick, Maryland. Qualified in 2018, 8 years ago. Practices with Baltimore Ketamine Clinic, a 3-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Maryland and Pennsylvania.

Years since qualifying
8
Licensed in
MD, PA
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

400 W 7th St
Frederick, MD 21701
Phone: (240) 566-3990
Fax: (240) 439-8910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 200 Memorial Ave, Westminster, MD 21157-5726 — (410) 871-3000
  • 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 — (800) 370-3651
  • 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 — (800) 370-3651

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R157571 (MD)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP018753 (PA)

Record details

NPI number1730677121
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 1, 2018
Last updated in NPPESJuly 30, 2019

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 Baltimore Ketamine Clinic — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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