Individual provider Active NPI

Gloria Fern Moretz, FNP CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1013912039
Registry record updated Mar 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R144562 Issued in MD
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20050607000925 MD Practitioner - Nurse Practitioner 5597708834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
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

LicenseStateTypeSpecialty
R144562MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Feb 28, 2012 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Feb 28, 2012 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.

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

Sources for this page

Verify at the official NPI Registry.