NPIMap

Michaella Afful, DNP

Individual provider Active NPI Nurse Practitioner · Baltimore, MD

NPI 1164224036 · NPPES record last updated Mar 24, 2025

Key facts

NPI
1164224036
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
R177681 (MD)
Practice address
5601 Loch Raven Blvd
Baltimore, MD 21239-2950
Phone
(443) 444-6423
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 22

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 3

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLC (3,726 clinicians)

Practice addresses (Care Compare)

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (410) 581-1200

5601 Loch Raven Blvd Russel
Ste2
Baltimore, MD 21239-2945
Phone (443) 444-5600

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

  • Medstar Franklin Square Medical Center Hospital · Rosedale, MD · CCN 210015
  • Medstar Good Samaritan Hospital Hospital · Baltimore, MD · CCN 210056
  • Medstar Union Memorial Hospital Hospital · Baltimore, MD · CCN 210024

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250618000089 MD Practitioner - Nurse Practitioner 9032620851 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R177681MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC Current
since May 1, 2025		 Accepting new patients
Medstar Medical Group II LLC Current
since May 1, 2025		 Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

5601 Loch Raven Blvd
Ste 103
Baltimore, MD 21239
Phone (443) 444-3991

5601 Loch Raven Blvd
Ste 403
Baltimore, MD 21239

12 Medstar Blvd
Ste 180
Bel Air, MD 21015
Phone (410) 515-6400

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

9103 Franklin Square Dr
Ste 2200
Rosedale, MD 21237
Phone (443) 777-7147

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R177681 MD Yes

Addresses

Primary practice location

5601 Loch Raven Blvd
Baltimore, MD 21239-2950

Mailing address

5601 Loch Raven Blvd
Baltimore, MD 21239-2950
Phone (443) 444-6423

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 24, 2025.

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1164224036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392950",
            "telephone_number": "443-444-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392950",
            "telephone_number": "443-444-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFUL",
        "first_name": "MICHAELLA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R177681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

All providers in Baltimore, MD · Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.