Active NPI
Gennaro Marenga, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R238002
- Practice address
- 400 W 7TH St
Frederick, MD 21701-4506 - Phone
- (240) 566-3990
- NPI assigned
- Nov 13, 2018
- Last updated
- Feb 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00878500 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R238002 | MD | Primary |
Addresses
Primary practice location
400 W 7TH St
Frederick, MD 21701-4506
Mailing address
PO Box 37086
Baltimore, MD 21297-3086
Phone (240) 439-8812
Other practice location 1
1447 York Rd Ste 506
Lutherville, MD 21093
Phone (410) 825-2282
Other practice location 2
1447 York Rd Ste 506
Lutherville, MD 21093
Phone (757) 478-7008
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200
712 Glenbrook Dr
Middletown, MD 21769-7752
Phone (757) 478-7008
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.23 of 100
- Quality
- 60.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.07 of 100
- Quality
- 75.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R238002 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Mountainview Mind & Mood LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
Organizations & group practices 8
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, MD
- NPI 1417662438
-
dba Frederick Health Medical Group
- Family Medicine Physician
- Frederick, MD
- NPI 1619258225
-
- Cardiovascular Disease Physician
- Timonium, MD
- NPI 1174815807
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1114771862
-
- Infusion Therapy Clinic/Center
- Frederick, MD
- NPI 1659899979
-
- Psychiatry Physician
- Randallstown, MD
- NPI 1215678693
-
- Cardiovascular Disease Physician
- Lutherville, MD
- NPI 1740086149
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Randallstown, MD
- NPI 1487695888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1447729058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37086",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973086",
"telephone_number": "240-439-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014506",
"telephone_number": "240-566-3990"
}
],
"practiceLocations": [
{
"address_1": "1447 York Rd Ste 506",
"address_purpose": "LOCATION",
"city": "Lutherville",
"state": "MD",
"postal_code": "21093",
"country_code": "US",
"telephone_number": "410-825-2282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1447 York Rd Ste 506",
"address_purpose": "LOCATION",
"city": "Lutherville",
"state": "MD",
"postal_code": "21093",
"country_code": "US",
"telephone_number": "757-478-7008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARENGA",
"first_name": "GENNARO",
"name_prefix": "Mr.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-13",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00878500",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R238002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.