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Malisa Ketzner , LPN

Licensed Practical Nurse β€’ Baltimore, MD

Active NPI 1801461827 Individual Practitioner Female Practitioner
Practice location in NPPES

8326 Windsor Mill Rd
Baltimore, MD 212441112

Call 7347727704 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8326 Windsor Mill Rd

Baltimore, MD 212441112

Telephone 7347727704
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Ypsilanti, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Baltimore and Maryland

69 active clinicians are listed under Licensed Practical Nurse with a practice address in Baltimore, MD (620 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baltimore

0% of these 69 clinicians have the CMS telehealth indicator.

0% of these 69 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-21
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES MI 4703125119

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Secondary Practice Locations

6144 Trumpeter Ln

Ypsilanti, MI 481978729

Phone: 7347727704

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
βœ…
NPI Profile Active May 21, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 21, 2021

Registered at 8326 WINDSOR MILL RD, BALTIMORE, MD 212441112 (Tel: 7347727704)

πŸ“
Business Mailing Address (Initial Record) May 21, 2021

Registered at 6144 TRUMPETER LN, YPSILANTI, MI 481978729 (Tel: 7347727704)

🏒
Secondary Practice Location Registered May 21, 2021

Additional practice office at 6144 Trumpeter Ln, Ypsilanti, MI 481978729

πŸ‘€
Provider Name / Credentials (Initial Record) May 21, 2021

Recorded as MALISA KETZNER, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2021

Licensed Practical Nurse (license number reported to NPPES: MI 4703125119)

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Initial NPI Registration & Enumeration May 21, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801461827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2021
Last Update: May 21, 2021
Sole Proprietor: Yes

Mailing Address

6144 Trumpeter Ln

Ypsilanti, MI 481978729

Phone: 7347727704

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.