Individual provider Active NPI

Tzipora Goetz, FNP

  • Family Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1376014779
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R189441 Issued in MD
Practice address
9106 Philadelphia Rd Ste 108
Rosedale, MD 21237-4335
Phone
(410) 682-5040
NPI assigned
Dec 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 R189441 MD Primary

Addresses

Primary practice location

9106 Philadelphia Rd Ste 108
Rosedale, MD 21237-4335

Mailing address

3407 Seven Mile LN
Baltimore, MD 21208-5636
Phone (443) 955-1118

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
I20190221002573 MD Practitioner - Nurse Practitioner 8426397233 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
Group practices
Baltimore Pain Management Center PAGroup PAC ID 9133184641, 3 clinicians

Practice addresses (Care Compare)

9106 Philadelphia Rd
Suite 108
Baltimore, MD 21237-4335
Phone (410) 682-5040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R189441MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Ambulatory Center LLC CurrentSince Dec 30, 2025 Accepting new patients
Baltimore Pain Management Center PA CurrentSince Dec 30, 2025 Accepting new patients
Dr Wendy Kloesz, M.D., P.a Past Accepting new patients

Locations

9106 Philadelphia Rd
Ste 108
Rosedale, MD 21237
Phone (410) 682-5040

Organizations & group practices 3

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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1376014779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 SEVEN MILE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085636",
            "telephone_number": "443-955-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 108",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374335",
            "telephone_number": "410-682-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "TZIPORA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R189441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.