Individual provider Active NPI

Cecelia Ann Gramsky, CRNP

  • Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1073686358
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R076773 Issued in MD
Practice address
3581 Old Washington Rd
Suite F
Waldorf, MD 20602-3270
Phone
(301) 638-4400
Fax
(301) 638-2200
NPI assigned
Nov 16, 2006
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R076773 MD Primary

Addresses

Primary practice location

3581 Old Washington Rd
Suite F
Waldorf, MD 20602-3270

Mailing address

196 Thomas Johnson Dr
Suite 215
Frederick, MD 21702-4397
Phone (301) 668-9988

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
I20120215000130 MD Practitioner - Nurse Practitioner 5294638607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845

133 Defense Hwy
Annapolis, MD 21401-7015

196 Thomas Johnson Dr
Suite 215
Frederick, MD 21702-4527
Phone (301) 668-9988

3581 Old Washington Rd
Waldorf, MD 20602-3270

80 Sherry LN
Prince Frederick, MD 20678-3232
Phone (410) 414-9229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newbridge Spine and Pain Center, LLC CurrentSince Feb 1, 2012 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 30, 2017 Accepting new patients
Newbridge Spine and Pain Center LLC CurrentSince Feb 1, 2012 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 30, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

196 Thomas Johnson Dr
Ste 215
Frederick, MD 21702
Phone (301) 668-9988

80 Sherry Ln
#101
Prince Frederick, MD 20678
Phone (410) 414-9229

3581 Old Washington Rd
Ste F
Waldorf, MD 20602
Phone (301) 638-4400

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

3510 Old Washington Rd
Ste 201
Waldorf, MD 20602
Phone (301) 638-4400

Interoperability endpoints

  • Direct secure messaging: cecelia.gramsky.1@8042.direct.athenahealth.com

Organizations & group practices 6

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1073686358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR",
            "address_2": "SUITE 215",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024397",
            "telephone_number": "301-668-9988",
            "fax_number": "301-668-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 OLD WASHINGTON RD",
            "address_2": "SUITE F",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023270",
            "telephone_number": "301-638-4400",
            "fax_number": "301-638-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMSKY",
        "first_name": "CECELIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R076773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.