Individual provider Active NPI

Tanya X Poisker, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1114986106
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R126928 Issued in MD
Practice address
1820 Sweetbay Dr
Suite 101
Salisbury, MD 21804-1428
Phone
(410) 334-3788
Fax
(410) 334-3599
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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 R126928 MD Primary

Addresses

Primary practice location

1820 Sweetbay Dr
Suite 101
Salisbury, MD 21804-1428

Mailing address

1820 Sweetbay Dr
Suite 101
Salisbury, MD 21804-1428
Phone (410) 334-3788

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
I20050223000152 MD Practitioner - Nurse Practitioner 2769435411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jonathan C Patrowicz DO PAGroup PAC ID 7618958653, 2 clinicians

Practice addresses (Care Compare)

1820 Sweet Bay Dr
Suite 101
Salisbury, MD 21804-1439
Phone (410) 334-3788

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan C Patrowicz DO PA CurrentSince Jul 1, 2004 Accepting new patients

Locations

1820 Sweetbay Dr
Ste 101
Salisbury, MD 21804
Phone (410) 334-3788

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1114986106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SWEETBAY DR",
            "address_2": "SUITE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041428",
            "telephone_number": "410-334-3788",
            "fax_number": "410-334-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SWEETBAY DR",
            "address_2": "SUITE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041428",
            "telephone_number": "410-334-3788",
            "fax_number": "410-334-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POISKER",
        "first_name": "TANYA",
        "middle_name": "X",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R126928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.