Individual provider Active NPI

Nancy J. Piercy, CRNP

  • Adult Health Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1114919115
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R107561 Issued in MD
Practice address
520 Upper Chesapeake Dr
Suite 308
Bel Air, MD 21014-4339
Phone
(443) 643-4800
Fax
(443) 643-4801
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R107561 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr
Suite 308
Bel Air, MD 21014-4339

Mailing address

520 Upper Chesapeake Dr
Suite 308
Bel Air, MD 21014-4339
Phone (443) 643-4800

Other identifiers 1

IdentifierTypeStateIssuer
449800300MedicaidMD

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
I20090722000071 MD Practitioner - Nurse Practitioner 5890847818 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R107561MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Primary Care LLC CurrentSince Dec 1, 2024 Accepting new patients
Upper Chesapeake Primary Care,LLC CurrentSince Sep 8, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

615 W Macphail Rd
Ste 106
Bel Air, MD 21014
Phone (410) 638-8900

2 North Ave
Ste 101
Bel Air, MD 21014
Phone (410) 296-1661

520 Upper Chesapeake Dr
Ste 308
Bel Air, MD 21014
Phone (443) 643-4300

2027 Pulaski Hwy
Ste 203
Hvre de Grace, MD 21078
Phone (410) 658-4099

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

Organizations & group practices 3

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1114919115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 308",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-4800",
            "fax_number": "443-643-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 308",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-4800",
            "fax_number": "443-643-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCY",
        "first_name": "NANCY",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R107561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449800300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.