Individual provider Active NPI

Emmanuella Nortey, CRNP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1205388667
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R177818 Issued in MD
Practice address
7533 Bettys Way
Baltimore, MD 21244-2075
Phone
(443) 326-9885
Fax
(443) 272-7048
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R177818 MD Primary

Addresses

Primary practice location

7533 Bettys Way
Baltimore, MD 21244-2075

Mailing address

300 E Madison St
Baltimore, MD 21202-4260
Phone (443) 571-3585

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
I20180529002333 MD Practitioner - Nurse Practitioner 4789949520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Matclinic Physicians Practice Group LLCGroup PAC ID 3274804349, 22 clinicians

Practice addresses (Care Compare)

40 S Dundalk Ave
Suite 400
Dundalk, MD 21222-4273
Phone (410) 220-0720

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matclinic Physicians Practice Group LLC CurrentSince Apr 21, 2018 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Apr 21, 2018 Accepting new patients

Locations

40 S Dundalk Ave
Ste 400
Dundalk, MD 21222
Phone (410) 220-0270

Organizations & group practices 2

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1205388667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MADISON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024260",
            "telephone_number": "443-571-3585",
            "fax_number": "410-576-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7533 BETTYS WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442075",
            "telephone_number": "443-326-9885",
            "fax_number": "443-272-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTEY",
        "first_name": "EMMANUELLA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R177818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.