Active NPI
Gloria Fern Moretz, FNP CRNP
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R144562
- Practice address
- 103 Bata Blvd
John Hopkins Community Physicians Waters Edge
Baltimore, MD 21017 - Phone
- (410) 575-6611
- NPI assigned
- Jun 16, 2005
- Last updated
- Mar 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R144562 | MD | Primary |
Addresses
Primary practice location
103 Bata Blvd
John Hopkins Community Physicians Waters Edge
Baltimore, MD 21017
Mailing address
103 Bata Blvd
John Hopkins Community Physicians Waters Edge
Baltimore, MD 21017
Phone (410) 575-6611
Other names 1
- Ms. Gloria Fern Gutina
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R144562 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Family Medicine Associates, P.a. | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| University of Maryland Family Medicine Associates, P.a. | Current | Accepting new patients | |
| University of Maryland Family Medicine Associates, P.a. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Specialist
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dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363478400000",
"number": "1013912039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 BATA BLVD",
"address_2": "JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21017",
"telephone_number": "410-575-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 BATA BLVD",
"address_2": "JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21017",
"telephone_number": "410-575-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORETZ",
"first_name": "GLORIA",
"middle_name": "FERN",
"name_prefix": "Mrs.",
"credential": "FNP CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2013-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R144562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "GUTINA",
"middle_name": "FERN",
"prefix": "MS.",
"credential": "FNP, CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
- Judy Aivette Moreno, CRNP-FAMILY
- Michael Leonowich Moreno, D.M.D
- Paola Moreno
- Stacia Lark Moreno, NP
- Ariana Moretz
- Stephanie Morfessis, CF-SLP
- Anne Justina Morgan Chopra, DDS
- Morgan State University (Morgan State Sports Medicine and Rehabilitation)
- Morgan State University Health Center
- Alicia Celeste Morgan-Cooper, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.