Individual provider Active NPI

Ann Marie Gamble, CRNP-FAMILY

  • Family Nurse Practitioner
  • Elkton, MD
National Provider Identifier
1417351735
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R224551 Issued in MD
Practice address
106 Bow St
Elkton, MD 21921-5544
Phone
(410) 398-4000
NPI assigned
Oct 15, 2014
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R224551 MD
Nurse Practitioner 363L00000X LG0011657 NJ
Family Nurse Practitioner 363LF0000X AN-0024823 DE
Family Nurse Practitioner 363LF0000X R224551 MD Primary
Family Nurse Practitioner 363LF0000X LG-0011657 DE
Family Nurse Practitioner 363LF0000X AC001406 MD
Family Nurse Practitioner 363LF0000X L1-0035904 DE

Addresses

Primary practice location

106 Bow St
Elkton, MD 21921-5544

Mailing address

3401 Cayman Way Apt 412
Abingdon, MD 21009-2886
Phone (302) 584-4474

Other practice location 1

107 Beacon Rd
Baltimore, MD 21220-3504
Phone (410) 686-9019

Other identifiers 2

IdentifierTypeStateIssuer
0828068MedicaidNJ
0753114MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20211004002524 DE Practitioner - Nurse Practitioner 3072825363 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

701 N Clayton St
Wilmington, DE 19805-3165
Phone (302) 421-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R224551MDMDNurse Practitioner
LG0011657NJMDNurse Practitioner
AN-0024823DEMDFamily Nurse Practitioner
L1-0035904DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Oct 22, 2025 Accepting new patients
Christiana Care Quality Partners CurrentSince Nov 19, 2021 Accepting new patients
Atlantic Physician Services of Maryland, PC CurrentSince Aug 27, 2021 Accepting new patients
Emergency Physician Associates of Delaware PC CurrentSince Sep 1, 2024 Accepting new patients
Cep America LLC CurrentSince Oct 22, 2025 Accepting new patients
Atlantic Physician Services of Maryland, P.C. Nurse Practitioner CurrentSince Aug 27, 2021 Accepting new patients
Union Hospital of Cecil County Health Services, Inc CurrentSince Oct 13, 2020 Accepting new patients
Union Hospital of Cecil County PastSince Oct 13, 2020 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

123 Singerly Ave
Elkton, MD 21921
Phone (410) 392-2686

210 Chesapeake Blvd
Elkton, MD 21921

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

4863 Pulaski Hwy
Ste 110
Perryville, MD 21903
Phone (443) 245-7378

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1417351735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CAYMAN WAY APT 412",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092886",
            "telephone_number": "302-584-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BOW ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215544",
            "telephone_number": "410-398-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Beacon Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212203504",
            "country_code": "US",
            "telephone_number": "410-686-9019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "ANN MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R224551",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "LG0011657",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "AN-0024823",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R224551",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011657",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001406",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "L1-0035904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0828068",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0753114",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.