Bobbie Ann Adams – Gerontology Nurse Practitioner

Key facts

NPI: 1407503154
Entity type: Individual (NPI type 1)
Primary specialty: Gerontology Nurse Practitioner 363LG0600X
License: SP026416 (PA)
Practice address: 12073 Tech Rd Ste B
Silver Spring, MD 20904-7874
Phone: (301) 593-1315
NPI assigned: Mar 2, 2022
Sex: Female
Sole proprietor: Yes

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.

Psychogeriatric Services LLC Psychiatry Physician · Columbia, MD · NPI 1588689483

Medicare reassignment Care Compare group NPD PA
Hospice Preferred Choice, Inc. Community Based Hospice Care Agency · Omaha, NE · NPI 1275575599

NPD (past)
Windber Hospital, Inc. General Acute Care Hospital · Windber, PA · NPI 1275620536

NPD (past)

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 1997
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Psychogeriatric Services LLC (122 clinicians)

Practice addresses (Care Compare)

146 E King St
Unit 1022
Lancaster, PA 17602-2832
Phone (301) 593-1315

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230501000758	PA	Practitioner - Nurse Practitioner	2264897040	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
SP026416	PA	MD	Adult Health Nurse Practitioner

Practice roles

Organization	Status	New patients
Psychogeriatric Services LLC	Current since Mar 31, 2023	Accepting new patients
Hospice Preferred Choice, Inc.	Past since Jan 1, 2023	Accepting new patients
Windber Hospital, Inc.	Past	Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249

349 Vo Tech Dr
Johnstown, PA 15904
Phone (814) 266-9702

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Health Nurse Practitioner	363LA2200X	SP026416	PA
Gerontology Nurse Practitioner	363LG0600X	SP026416	PA	Yes

Addresses

Primary practice location

12073 Tech Rd Ste B
Silver Spring, MD 20904-7874

Mailing address

12073 Tech Rd Ste B
Silver Spring, MD 20904-7874
Phone (301) 593-1315

Other practice location 1

100 Ctc Dr Ste 110
Johnstown, PA 15904-1935
Phone (814) 269-4172

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2023.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1407503154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12073 TECH RD STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047874",
            "telephone_number": "301-593-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12073 TECH RD STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047874",
            "telephone_number": "301-593-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ctc Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159041935",
            "country_code": "US",
            "telephone_number": "814-269-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BOBBIE",
        "middle_name": "ANN",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP026416",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP026416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

All providers in Silver Spring, MD · Gerontology Nurse Practitioner in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.