Irene A Ginczek, NP – Family Nurse Practitioner

Key facts

NPI: 1083228357
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: R181135 (MD)
Practice address: 12200 Annapolis Rd Ste 225
Glenn Dale, MD 20769-9182
Phone: (301) 867-2488
Fax: (301) 390-6243
NPI assigned: Sep 3, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 7

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.

Choice Pain & Rehabilitation Center, LLC Physical Medicine & Rehabilitation Physician · Lanham, MD · NPI 1568809598

Medicare reassignment NPD DC
1St Medical of Annapolis, Inc. Family Medicine Physician · Edgewater, MD · NPI 1922282425

Medicare reassignment MD
1St Medical Pain Management Specialists Clinic/Center · Edgewater, MD · NPI 1902348659

NPD
Choice Pain & Rehabilitation Center Pain Medicine (Physical Medicine & Rehabilitation) Physician · Newark, DE · NPI 1053007898

NPD
Complete Health Service Inc. Home Health Agency · Silver Spring, MD · NPI 1962963348

NPD (past)
Lucielle Urgent Care, Inc Primary Care Clinic/Center · Towson, MD · NPI 1659061059

NPD (past)
Lucielle Urgent Care, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Towson, MD · NPI 1770273278

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in DC, MD
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
I20220331002400	DC	Practitioner - Nurse Practitioner	5092101972	Reassigns benefits to 1 organization
I20230703000056	MD	Practitioner - Nurse Practitioner	5092101972	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Status	New patients
Choice Pain & Rehabilitation Center, LLC	Current since Mar 15, 2023	Accepting new patients
Choice Pain & Rehabilitation Center	Current since Mar 15, 2023	Accepting new patients
1St Medical Pain Management Specialists	Current	Accepting new patients
Complete Health Service Inc.	Past since May 15, 2023	Accepting new patients
Lucielle Urgent Care, Inc	Past since May 14, 2023	Accepting new patients
Lucielle Urgent Care, Inc	Past since May 14, 2023	Accepting new patients

Locations

405 Frederick Rd
Ste 11
Catonsville, MD 21228
Phone (410) 788-4411

20 Mayo Rd
Ste 201
Edgewater, MD 21037
Phone (410) 956-6800

8843 Greenbelt Rd
Greenbelt, MD 20770
Phone (202) 689-4398

18540 Office Park Dr
Montgomry Vlg, MD 20886
Phone (301) 330-3900

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	R181135	MD	Yes

Addresses

Primary practice location

12200 Annapolis Rd Ste 225
Glenn Dale, MD 20769-9182

Mailing address

15100 Joppa PL
Bowie, MD 20721-7232
Phone (240) 619-0552

Other providers in Glenn Dale, MD

All providers in Glenn Dale, MD · Family 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 Feb 23, 2022. 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).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.