Individual provider Active NPI

Messanvi M Gozo, CRNP

  • Adult Health Nurse Practitioner
  • Easton, MD
National Provider Identifier
1003311630
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R215546 Issued in MD
Practice address
610 Dutchmans LN
Easton, MD 21601-3346
Phone
(410) 548-2343
Fax
(844) 332-3891
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R215546 MD Primary

Addresses

Primary practice location

610 Dutchmans LN
Easton, MD 21601-3346

Mailing address

811 Middle River Rd
Middle River, MD 21220-3766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516001655 MD Practitioner - Nurse Practitioner 1254695422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Physician Partners LLCGroup PAC ID 8224353891, 36 clinicians

Practice addresses (Care Compare)

26757 Crooked Oak LN
Hebron, MD 21830-1232
Phone (410) 548-2343

Merit-based Incentive Payment System (MIPS)

Final score
46.78 of 100Reported as apm
Quality
33.56
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Physician Partners, LLC CurrentSince Aug 1, 2018 Accepting new patients
Sage Hollow Health PC CurrentSince Sep 30, 2025 Accepting new patients

Locations

2434 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-2246

610 Dutchmans Ln
Easton, MD 21601
Phone (301) 664-2880

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1003311630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 MIDDLE RIVER RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013346",
            "telephone_number": "410-548-2343",
            "fax_number": "844-332-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZO",
        "first_name": "MESSANVI",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R215546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.