Allied Health Practitioners - Medical Staff Services

(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.