Individual provider Active NPI

Michelle McKenzie Sakala

  • Gerontology Nurse Practitioner
  • Pasadena, MD
National Provider Identifier
1396523353
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG09230088 Issued in MD
Practice address
8015 Apple Valley Dr
Pasadena, MD 21122-4174
Phone
(410) 255-0102
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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 AG09230088 MD Primary

Addresses

Primary practice location

8015 Apple Valley Dr
Pasadena, MD 21122-4174

Mailing address

2459 Cheyenne Dr
Gambrills, MD 21054-1695

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
I20250207003543 MD Practitioner - Nurse Practitioner 7618312828 Reassigns benefits to 3 organizations
I20250210001088 DC Practitioner - Nurse Practitioner 7618312828 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG09230088MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates CurrentSince Oct 20, 2025 Accepting new patients
Healing Partners Plus PLLC CurrentSince Oct 30, 2025 Accepting new patients
Onsite Medical Palliative Care LLC CurrentSince Jan 1, 2025 Accepting new patients
Onsite Medical House Calls CurrentSince Mar 12, 2024 Accepting new patients

Locations

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

10440 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (240) 203-4457

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/17833/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1396523353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 CHEYENNE DR",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 APPLE VALLEY DR",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224174",
            "telephone_number": "410-255-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKALA",
        "first_name": "MICHELLE",
        "middle_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "AG09230088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.