NPIMap

Organization Active NPI

Peace Healthcare Inc

  • Family Nurse Practitioner
  • Parkville, MD
National Provider Identifier
1144675646
Registry record updated Jan 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R190153 Issued in MD
Legal business name
PEACE HEALTHCARE INC
Practice address
8203 Harford Rd
Parkville, MD 21234-5888
Phone
(410) 499-4707
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2023

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

Authorized official

Name
Priscilla BenewaahNPI 1053715508
Title
President
Phone
(410) 499-4707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R190153 MD Primary

Addresses

Primary practice location

8203 Harford Rd
Parkville, MD 21234-5888

Mailing address

8386 Old Philadelphia Rd
Rosedale, MD 21237-2938

Other identifiers 1

IdentifierTypeStateIssuer
641209200MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@peacehealthcareinc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160913002849 MD Part B Supplier - Clinic/Group Practice 7517253727 Receives reassigned benefits from 2 practitioners
Practice locations: Dundalk, MD; Parkville, MD

National Provider Directory

National Provider Directory
Tax ID family
Peace Healthcare Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673740800000",
    "number": "1144675646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8386 OLD PHILADELPHIA RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345888",
            "telephone_number": "410-499-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "BENEWAAH",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-499-4707"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R190153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "641209200",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@peacehealthcareinc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8203 Harford Rd",
            "city": "Parkville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212345888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.