Individual provider Active NPI

Janell S Gilliam, FNP-BC

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1275736167
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025062243 Issued in MD
Practice address
10 N Greene St
Baltimore, MD 21201-1524
Phone
(410) 770-1313
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025062243 MD Primary

Addresses

Primary practice location

10 N Greene St
Baltimore, MD 21201-1524

Mailing address

2716 Oakley Ave
Baltimore, MD 21215-5311
Phone (443) 813-5182

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
I20260114003248 MD Practitioner - Nurse Practitioner 0941786404 Reassigns benefits to 1 organization
I20260114003404 DC Practitioner - Nurse Practitioner 0941786404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimize Medical GroupGroup PAC ID 0446512040, 31 clinicians

Practice addresses (Care Compare)

1051 Brightseat Rd
Landover, MD 20785-3738
Phone (240) 487-4400

1314 Bedford Ave
Suite 113
Pikesville, MD 21208-3737
Phone (480) 878-7806

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025062243MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimize Medical Group CurrentSince Dec 7, 2025 Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1275736167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OAKLEY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155311",
            "telephone_number": "443-813-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011524",
            "telephone_number": "410-770-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "JANELL",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2025062243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.