Individual provider Active NPI

Angela Longe

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1437558483
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R182395 Issued in MD
Practice address
1811 Woodlawn Dr
Baltimore, MD 21207-4043
Phone
(410) 887-1332
NPI assigned
Aug 15, 2014
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R182395 MD Primary
Community Health Registered Nurse 163WC1500X R182395 MD

Addresses

Primary practice location

1811 Woodlawn Dr
Baltimore, MD 21207-4043

Mailing address

4643 Old Court Rd
Pikesville, MD 21208-2402

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
I20180103002297 MD Practitioner - Nurse Practitioner 6608134267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holismind Behavioral HealthGroup PAC ID 3375992134, 2 clinicians

Practice addresses (Care Compare)

400 Redland CT
Suite 101
Owings Mills, MD 21117-3291
Phone (443) 334-6337

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
81.34
Promoting interoperability
100
Improvement activities
40
Cost
70.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R182395MDMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Empathy Recovery Homes LLC CurrentSince Feb 23, 2025 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Apr 6, 2020 Accepting new patients
Maryland General Hospital, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Apr 6, 2020 Accepting new patients
Holismind Behavioral Health CurrentSince Sep 1, 2023 Accepting new patients
Baltimore County Department of Health Past Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

400 Redland Ct
Ste 101
Owings Mills, MD 21117
Phone (443) 334-6337

Interoperability endpoints

  • Direct secure messaging: alonge674887@direct.umm.edu
  • Direct secure messaging: westminsterrescuemission.angelalonge@149323.advancedmd-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1437558483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 OLD COURT RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WOODLAWN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074043",
            "telephone_number": "410-887-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGE",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R182395",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MD",
            "license": "R182395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.