Allied Health Practitioners

For Advanced Practice Registered Nurses (APRNs) & Physician Assistants:

(APRNs include Nurse Practitioners, Nurse Midwives, and Certified Registered Nurse Anesthetists)

For other allied health practitioners, please contact Medical Staff Services directly at 410-328-2902 for further instructions.

All Advanced Practice Nurses and Physician Assistants must have accepted a position with a clinical department at the University of Maryland Medical Center, University Physicians, Inc, or other UMMS affiliation. Please do not complete/submit an application unless this has taken place.

When starting the credentialing process, please ensure that you have applied for:

  • Submitted an attestation to the Board of Nursing (if applicable);

  • Maryland license;

  • Federal DEA registration with a Maryland address (if applicable);

  • Maryland Controlled Substance Registration (if applicable);

Download the necessary credentialing documents from this website. These include the:

  • Hospital Initial Appointment Application;

  • Federal DEA/Maryland CDS Attestation (if applicable);

  • Privilege form;

Submit the following to the appropriate Medical Staff Coordinator:

  • Application

  • Privilege form

  • Copies of all licenses, board certifications, malpractice insurance certificates

  • Copy of BON attestation, job description, etc (if applicable);

Appropriate references:

  • CRNAs must supply the name/contact/email information of an Anesthesiologist as a reference on their application. This is a requirement of the Anesthesiology Department Chairman.

  • CRNPs must supply the name/contact/email information of a preceptor/direct supervisor from their CRNP Program if they are a recent graduate of the program (within 5 years). This is a requirement of the CRNP Director.

Be on call and willing to assist Medical Staff Services should they run into problems doing primary source verification regarding your education, previous training/employment, insurance coverage, peer reviews, etc. Your help will expedite the process.

This page was last updated: June 4, 2013

         
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