Individual provider Active NPI

Dallia Nsoesie, CRNP

  • Adult Health Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1154814762
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R202660 Issued in MD
Practice address
8100 Sandpiper Cir Ste 214
Nottingham, MD 21236-4999
Phone
(443) 693-7246
Fax
(410) 870-6026
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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 R202660 MD Primary

Addresses

Primary practice location

8100 Sandpiper Cir Ste 214
Nottingham, MD 21236-4999

Mailing address

2 Park Center CT Ste 200
Owings Mills, MD 21117-4221
Phone (443) 693-7246

Other practice location 1

1576 Merritt Blvd Ste 18
Dundalk, MD 21222-2132
Phone (443) 693-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180625003414 MD Practitioner - Nurse Practitioner 1557616059 Reassigns benefits to 1 organization
I20190717003646 DC Practitioner - Nurse Practitioner 1557616059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

8100 Sandpiper Cir
Suite 214
Nottingham, MD 21236-4999
Phone (410) 571-2946

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as individual
Quality
31.67
Promoting interoperability
100
Improvement activities
40
Cost
74.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC CurrentSince Jun 18, 2018 Accepting new patients
Advanced Pain Management Specialists, LLC CurrentSince Jun 18, 2018 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

1576 Merritt Blvd
Ste 18
Dundalk, MD 21222
Phone (443) 530-9750

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

8100 Sandpiper Cir
Ste 214
Nottingham, MD 21236
Phone (443) 442-0500

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

Interoperability endpoints

  • Direct secure messaging: dallia.nsoesie.1@11679.direct.athenahealth.com

Organizations & group practices 4

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1154814762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK CENTER CT STE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174221",
            "telephone_number": "443-693-7246",
            "fax_number": "443-450-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 SANDPIPER CIR STE 214",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364999",
            "telephone_number": "443-693-7246",
            "fax_number": "410-870-6026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1576 Merritt Blvd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212222132",
            "country_code": "US",
            "telephone_number": "443-693-7246",
            "fax_number": "443-399-8309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NSOESIE",
        "first_name": "DALLIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R202660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.