Blerta Hamza
Individual provider Active NPI Nurse Practitioner · Clarksburg, MD
NPI 1053901702 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1053901702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN1038388 (DC)
- Practice address
- 13016 Blacksmith Dr
Clarksburg, MD 20871-5312 - Phone
- (586) 995-9462
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medstar Medical Group II LLC
Practice addresses (Care Compare)
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000
Hospital & facility affiliations
- Medstar Washington Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211006000089 | DC | Practitioner - Nurse Practitioner | 9032517040 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Washington Hospital Center Corp | Current |
Accepting new patients | |
| Washington Hospital Center Corp | Current |
Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
#4
Washington, DC 20010
110 Irving St NW
Fl 2
Washington, DC 20010
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN1038388 | DC | Yes |
Addresses
Primary practice location
13016 Blacksmith Dr
Clarksburg, MD 20871-5312
Mailing address
110 Irving St NW
Washington, DC 20010-3017
Other providers in Clarksburg, MD
- Graceful Nurture Home Health, LLC
- Alison Grady
- Ulrica Gregg
- Matthew Grigg
- Alireza Hamidzadeh
- Patricia Morgan Haney
- Happy Smiles Dental 2, LLC
- Happy Smiles Dental LLC
- Harris Teeter, LLC
- Hasanat Mental Health Care, LLC
All providers in Clarksburg, MD · Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.