Individual provider Active NPI

Navneet Kaur Gill, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1053809871
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R248820 Issued in MD
Practice address
325 Hospital Dr Ste 106
Glen Burnie, MD 21061-5806
Phone
(443) 430-2998
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R248820 MD Primary

Addresses

Primary practice location

325 Hospital Dr Ste 106
Glen Burnie, MD 21061-5806

Mailing address

325 Hospital Dr Ste 106
Glen Burnie, MD 21061-5806
Phone (443) 430-2998

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
I20250224000898 MD Practitioner - Nurse Practitioner 2567982309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative Treatment CentersGroup PAC ID 1052784840, 8 clinicians
Lake Linganore Psychiatry, PLLCGroup PAC ID 5193255248, 6 clinicians

Practice addresses (Care Compare)

325 Hospital Dr
Suite 106
Glen Burnie, MD 21061-5806
Phone (443) 430-2998

617 W Patrick St
Suite 223
Frederick, MD 21701-4027
Phone (240) 405-8084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Linganore Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Feb 11, 2025 Accepting new patients
Innovative Treatment Centers Current Accepting new patients
Innovative Treatment Centers Psychiatric/Mental Health CurrentSince Feb 4, 2025 Accepting new patients

Locations

617 W Patrick St
Ste 223
Frederick, MD 21701
Phone (240) 405-8084

325 Hospital Dr
Ste 106
Glen Burnie, MD 21061
Phone (410) 761-3900

Organizations & group practices 3

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1053809871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615806",
            "telephone_number": "443-430-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615806",
            "telephone_number": "443-430-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "NAVNEET",
        "middle_name": "KAUR",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R248820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.