Individual provider Active NPI

Olga Sergeyevna Negrete

  • Nurse Practitioner
  • Easton, MD
National Provider Identifier
1053040550
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201909 Issued in MD
Practice address
500 Cadmus LN
Easton, MD 21601-4094
Phone
(443) 362-2579
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201909 MD Primary

Addresses

Primary practice location

500 Cadmus LN
Easton, MD 21601-4094

Mailing address

8705 Sky View Dr
Easton, MD 21601-7939
Phone (443) 362-2579

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
I20221020000034 MD Practitioner - Nurse Practitioner 6103292933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Medical Group LLCGroup PAC ID 0749644177, 102 clinicians
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

3320 Benson Ave
Halethorpe, MD 21227-1035
Phone (667) 600-2600

3407 Wilkens Ave
300 Maryland Cardiovascular Specialists
Baltimore, MD 21229-5072
Phone (410) 644-5111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201909MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Jul 25, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 20, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 20, 2022 Accepting new patients
St Agnes Healthcare Inc Nurse Practitioner CurrentSince Jul 25, 2025 Accepting new patients

Locations

3407 Wilkens Ave
Ste 300
Baltimore, MD 21229
Phone (410) 644-5111

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

500 Cadmus Ln
Ste 207
Easton, MD 21601
Phone (410) 822-5571

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

3320 Benson Ave
Halethorpe, MD 21227
Phone (410) 644-7100

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

Organizations & group practices 5

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1053040550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 SKY VIEW DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017939",
            "telephone_number": "443-362-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CADMUS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014094",
            "telephone_number": "443-362-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRETE",
        "first_name": "OLGA",
        "middle_name": "SERGEYEVNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "201909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.