Individual provider Active NPI

Stella Uwalor

  • Gerontology Nurse Practitioner
  • Dundalk, MD
National Provider Identifier
1326611526
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
628 Issued in MD
Practice address
3955 N Point Rd
Dundalk, MD 21222-2840
Phone
(443) 866-1913
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 628 MD Primary

Addresses

Primary practice location

3955 N Point Rd
Dundalk, MD 21222-2840

Mailing address

3955 Old North Point Rd
Dundalk, MD 21222-2840
Phone (443) 866-1913

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
I20251203000999 MD Practitioner - Nurse Practitioner 8022501675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10845 Philadelphia Rd
White Marsh, MD 21162-1717

6730 Holabird Ave
Dundalk, MD 21222-1700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
628MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Pain Associates LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

6730 Holabird Ave
Ste 201
Dundalk, MD 21222
Phone (410) 236-8622

6730 Holabird Ave
Dundalk, MD 21222
Phone (410) 288-5220

1406B Crain Hwy S
Ste 208
Glen Burnie, MD 21061
Phone (443) 410-3309

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1326611526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 OLD NORTH POINT RD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222840",
            "telephone_number": "443-866-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 N POINT RD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222840",
            "telephone_number": "443-866-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWALOR",
        "first_name": "STELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

Verify at the official NPI Registry.