Active NPI
Amber Elizabeth Nowak
- Neonatal Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1134909682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- R242530
- Practice address
- 9000 Franklin Square Dr
Baltimore, MD 21237-3901 - Phone
- (443) 777-7000
- NPI assigned
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | R242530 | MD | Primary |
Addresses
Primary practice location
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Mailing address
14605 Myer Ter
Rockville, MD 20853-2358
Phone (989) 627-1314
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231211001734 | MD | Practitioner - Nurse Practitioner | 4789033168 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R242530 | MD | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients |
Locations
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1134909682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14605 MYER TER",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208532358",
"telephone_number": "989-627-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 FRANKLIN SQUARE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373901",
"telephone_number": "443-777-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "AMBER",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MD",
"license": "R242530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Novus Pain Management - Maryland, LLC
- Novus Pain Management - Maryland, LLC
- Novus Pain Management - Maryland, LLC
- Novus Pain Management - Maryland, LLC
- Now Behavioral Health, Inc.
- Valentine Edward Nowak Jr., PHARMACIST
- Milap Anil Nowrangi, M.D.
- NP Medical Solutions by Sheila Waller
- Tyler Blake Nsekpong, MD
- Riley Nseudi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.