Individual provider Active NPI

Margianna Stotelmyer Toms, CRNM CRNP

  • Primary Care Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1245676881
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R070103 Issued in MD
Practice address
15844 Fairview Rd
Hagerstown, MD 21740-1152
Phone
(301) 992-3724
NPI assigned
May 21, 2013
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R070103 MD Primary
Advanced Practice Midwife 367A00000X R070103 MD

Addresses

Primary practice location

15844 Fairview Rd
Hagerstown, MD 21740-1152

Mailing address

15844 Fairview Rd
Hagerstown, MD 21740-1152
Phone (301) 992-3724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, WV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190530002537 MD Practitioner - Nurse Practitioner 7113167214 Reassigns benefits to 3 organizations
I20190619001199 DC Practitioner - Nurse Practitioner 7113167214 Reassigns benefits to 1 organization
I20230221000486 WV Practitioner - Nurse Practitioner 7113167214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians

Practice addresses (Care Compare)

1840 Reisterstown Rd
Pikesville, MD 21208-1305
Phone (757) 536-2246

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CNP Operating Co LLC CurrentSince Feb 20, 2023 Accepting new patients
Legacy Care Aco LLC CurrentSince Jan 1, 2026 Accepting new patients
Legacy Care LLC CurrentSince May 1, 2019 Accepting new patients

Locations

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

10123 Alliance Rd
Blue Ash, OH 45242
Phone (513) 530-1348

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

2675 36th St
Parkersburg, WV 26104
Phone (304) 422-8112

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1245676881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15844 FAIRVIEW RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401152",
            "telephone_number": "301-992-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15844 FAIRVIEW RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401152",
            "telephone_number": "301-992-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMS",
        "first_name": "MARGIANNA",
        "middle_name": "STOTELMYER",
        "name_prefix": "Ms.",
        "credential": "CRNM CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R070103",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R070103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.