Individual provider Active NPI

Emilie Pozoulakis, NP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1346727492
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R216770 Issued in MD
Practice address
401 N Broadway St Ste 1440
Baltimore, MD 21287-0019
Phone
(410) 955-6980
NPI assigned
Jul 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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 R216770 MD Primary

Addresses

Primary practice location

401 N Broadway St Ste 1440
Baltimore, MD 21287-0019

Mailing address

5627 Broadmoor Ter N
Ijamsville, MD 21754-9149

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
I20181206001191 MD Practitioner - Nurse Practitioner 8628312386 Reassigns benefits to 4 organizations
I20231005000442 DC Practitioner - Nurse Practitioner 8628312386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Care Maryland LLCGroup PAC ID 4880026822, 10 clinicians

Practice addresses (Care Compare)

7520 Surratts Rd
Clinton, MD 20735-3353
Phone (201) 870-1194

85 Hospital Rd
Prince Frederick, MD 20678-4018
Phone (201) 870-1194

Merit-based Incentive Payment System (MIPS)

Final score
69.18 of 100Reported as group
Quality
80.07
Promoting interoperability
0
Improvement activities
40
Cost
67.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R216770MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridginglife, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Oct 14, 2018 Accepting new patients
Integrated Wound Care Maryland LLC CurrentSince Jul 15, 2023 Accepting new patients
Johns Hopkins University CurrentSince Oct 14, 2018 Accepting new patients
Bridginglife, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Clearall Professional Corporation PastSince Mar 11, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

85 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 535-2300

292 Stoner Ave
Westminster, MD 21157
Phone (443) 974-8725

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Organizations & group practices 9

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": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1346727492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 BROADMOOR TER N",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BROADWAY ST STE 1440",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870019",
            "telephone_number": "410-955-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZOULAKIS",
        "first_name": "EMILIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R216770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.