Individual provider Active NPI

Stella C Emerenini

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1073216685
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R230957 Issued in MD
Practice address
6501 N Charles St
Towson, MD 21204-6819
Phone
(240) 370-4504
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 R230957 MD Primary

Addresses

Primary practice location

6501 N Charles St
Towson, MD 21204-6819

Mailing address

9711 Mendoza Rd # a
Randallstown, MD 21133-2530
Phone (240) 370-4504

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
I20240509000347 MD Practitioner - Nurse Practitioner 5496196362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1055 Taylor Ave
Suite 100
Towson, MD 21286-8308
Phone 41032168261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R230957MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Star Health Care Services LLC Psychiatric/Mental Health CurrentSince Oct 2, 2024 Accepting new patients
Atosk Healthcare Services, Inc CurrentSince Mar 26, 2024 Accepting new patients
Vision Star Health Care Services LLC Psychiatric/Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Atosk Healthcare Services, Inc CurrentSince Jun 9, 2024 Accepting new patients

Locations

1055 Taylor Ave
Ste 207
Towson, MD 21286
Phone (410) 321-6826

1055 Taylor Ave
Ste 100
Towson, MD 21286
Phone (410) 321-6826

Organizations & group practices 4

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": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1073216685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 MENDOZA RD # A",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332530",
            "telephone_number": "240-370-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "240-370-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERENINI",
        "first_name": "STELLA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R230957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.