Anna L Gardner, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R197803 Issued in MD

Practice address

2 North Ave Ste 101
Bel Air, MD 21014-2303

Phone

(410) 838-6434

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anna L Wilson Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harford Primary Care LLC

  • Family Medicine Physician
  • Bel Air, MD
  • NPI 1194797670
  Medicare reassignment NPD
• Upper Chesapeake Primary Care,LLC

  • Internal Medicine Physician
  • Bel Air, MD
  • NPI 1093902793
  Medicare reassignment NPD

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1205471885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NORTH AVE STE 101",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142303",
            "telephone_number": "410-838-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORTH AVE STE 101",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142303",
            "telephone_number": "410-838-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ANNA",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.umms.org/uch/locations/harford-primary-care-macphail-rd",
            "affiliation": "N",
            "address_1": "615 W MacPhail Rd",
            "city": "Bel Air",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210144309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "WILSON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristina Anna Gambrell, RN, BSN,IBCLC
• Lucy Belyn Gant, CNM
• Qinglin Gao, M.D.
• Kristina Lynn Garcia, PTA
• Kristy Garcia
• Ralph C Garrett, PA
• Richard Charles Garrigan, DDS
• David L Garrison, PH.D.
• Toynesha Nicole Gartley
• Gary Reznik D.D.S., P.a.

• Family Nurse Practitioner in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.

Verify at the official NPI Registry.