Individual provider Active NPI

Brittany Cicala

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1346799038
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R204560 Issued in MD
Practice address
45 Old Solomons Island Rd Ste 205
Annapolis, MD 21401-3800
Phone
(410) 224-4348
Fax
(410) 224-4732
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 R204560 MD Primary

Addresses

Primary practice location

45 Old Solomons Island Rd Ste 205
Annapolis, MD 21401-3800

Mailing address

45 Old Solomons Island Rd Ste 205
Annapolis, MD 21401-3800
Phone (410) 224-4348

Other practice location 1

8860 Columbia 100 Pkwy
Columbia, MD 21045-2195
Phone (410) 964-8346

Other identifiers 1

IdentifierTypeStateIssuer
CX59-0005OtherMDCAREFIRST

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
I20161128000485 MD Practitioner - Nurse Practitioner 3274812706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annapolis Pain Management LLCGroup PAC ID 0749553873, 6 clinicians

Practice addresses (Care Compare)

45 Old Solomons Island Rd
Suite 205
Annapolis, MD 21401-3800
Phone (410) 224-4348

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R204560MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Pain Management, LLC CurrentSince Sep 1, 2017 Accepting new patients

Locations

45 Old Solomons Island Rd
Ste 205
Annapolis, MD 21401
Phone (410) 224-4348

Interoperability endpoints

  • Direct secure messaging: brittany.cicala@apml-md.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346799038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 OLD SOLOMONS ISLAND RD STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013800",
            "telephone_number": "410-224-4348",
            "fax_number": "410-224-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 OLD SOLOMONS ISLAND RD STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013800",
            "telephone_number": "410-224-4348",
            "fax_number": "410-224-4732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8860 Columbia 100 Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452195",
            "country_code": "US",
            "telephone_number": "410-964-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICALA",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R204560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "CX59-0005",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.