Individual provider Active NPI

Nicole Joy Fasulo Geraty, NP

  • Family Nurse Practitioner
  • Eldersburg, MD
National Provider Identifier
1073260667
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R200073 Issued in MD
Practice address
2025 Sherryl Ave
Eldersburg, MD 21784-6352
Phone
(443) 377-2078
NPI assigned
Mar 3, 2022
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R200073 MD Primary

Addresses

Primary practice location

2025 Sherryl Ave
Eldersburg, MD 21784-6352

Mailing address

2025 Sherryl Ave
Eldersburg, MD 21784-6352
Phone (443) 377-2078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R200073MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Call Medical Center LLC Current Accepting new patients
First Call Medical Center LLC CurrentSince May 1, 2023 Accepting new patients
First Call Medical Center LLC CurrentSince May 1, 2023 Accepting new patients
Trusted Doctors LLC Past Accepting new patients

Locations

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

10120 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 694-7999

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1073260667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SHERRYL AVE",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846352",
            "telephone_number": "443-377-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SHERRYL AVE",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846352",
            "telephone_number": "443-377-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERATY",
        "first_name": "NICOLE",
        "middle_name": "JOY FASULO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.