Individual provider Active NPI

Nova La Marr Preval, CRNP

  • Primary Care Nurse Practitioner
  • Burtonsville, MD
National Provider Identifier
1053879429
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R213039 Issued in MD
Practice address
2908 Cabin Creek Dr
Burtonsville, MD 20866-1839
Phone
(301) 257-0563
Fax
(414) 800-1839
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R213039 MD
Primary Care Nurse Practitioner 363LP2300X R213039 MD Primary

Addresses

Primary practice location

2908 Cabin Creek Dr
Burtonsville, MD 20866-1839

Mailing address

2908 Cabin Creek Dr
Burtonsville, MD 20866-1839
Phone (301) 257-0563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190424000985 DC Practitioner - Nurse Practitioner 8325380298 Reassigns benefits to 1 organization
I20230102000202 MD Practitioner - Nurse Practitioner 8325380298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2908 Cabin Creek Dr
Burtonsville, MD 20866-1839
Phone (301) 257-0563

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Bayada Home Health Care, Inc Home health agency, Gaithersburg, MD, CCN 217158
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R213039MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preval Health Care Adult Health CurrentSince Oct 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nova.preval.1@27703.direct.athenahealth.com
  • Direct secure messaging: drpreval@montgomerymedical.gwaydirect.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1053879429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 CABIN CREEK DR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661839",
            "telephone_number": "301-257-0563",
            "fax_number": "414-800-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 CABIN CREEK DR",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661839",
            "telephone_number": "301-257-0563",
            "fax_number": "414-800-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVAL",
        "first_name": "NOVA",
        "middle_name": "LA MARR",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R213039",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R213039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

Verify at the official NPI Registry.