Nelvin Glenn Bergonia Ison, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R176504 Issued in MD

Practice address

310 E Pulaski Hwy
Elkton, MD 21921-6435

Phone

(443) 485-6213

Fax

(443) 485-6226

NPI assigned

Jun 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DE2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.13 of 100Reported as apm

Quality

90.26

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nelvin.ison@ghuccc.eclinicaldirectplus.com

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.

• Christiana Care Quality Partners

  • Urgent Care Clinic/Center
  • Newark, DE
  • NPI 1164061867

  MD

  Medicare reassignment Care Compare group NPD
• JLJ Medical Limited Liabilty Company, Priority Care Clinics

  • Urgent Care Clinic/Center
  • Baltimore, MD
  • NPI 1578261673
  Medicare reassignment NPD
• Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Timonium, MD
  • NPI 1174815807
  Medicare reassignment NPD
• Synergy Medical Group LLC

  • Internal Medicine Physician
  • Lutherville, MD
  • NPI 1912736901
  Medicare reassignment NPD
• Capital Healthcare PC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1811239627

  MD

  Medicare reassignment NPD
• Lifebridge Community Physicians Inc

  • Cardiovascular Disease Physician
  • Lutherville, MD
  • NPI 1740086149
  NPD
• Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Westminster, MD
  • NPI 1609150242
  NPD
• Synergy Medical Group LLC

  • Nephrology Physician
  • Hagerstown, MD
  • NPI 1881564979
  NPD
• Synergy Medical Group LLC

  • Infectious Disease Physician
  • Lutherville, MD
  • NPI 1902635998
  NPD
• Priority Care Primary Care Clinics

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1386369486
  NPD (past)
• Allcare Ga PC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1972080554
  NPD (past)
• Christiana Care Quality Partners

  • Urgent Care Clinic/Center
  • Wilmington, DE
  • NPI 1881367332
  NPD (past)

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1447811534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PLUMTREE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156095",
            "telephone_number": "410-515-4300",
            "fax_number": "410-601-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216435",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 York Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212122024",
            "country_code": "US",
            "telephone_number": "410-864-8181",
            "fax_number": "410-510-1766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hygeia Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132049",
            "country_code": "US",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Plumtree Rd",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156095",
            "country_code": "US",
            "telephone_number": "410-515-4300",
            "fax_number": "410-601-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISON",
        "first_name": "NELVIN GLENN",
        "middle_name": "BERGONIA",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R176504",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R176504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R176504",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0012948",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Good Company Nutrition
• Infinite Medical MD LLC
• Integrated Health, LLC
• Scott T Irrgang, DC
• Andrew Wahba Ishak, O. D.
• Betty Jackson, LGSW
• Urooj Jaferi, MD
• Jessica Janusz-Grimes, LCSW-C
• Jason Chrystal LLC
• Jeffrey P. Mainolfi,O.D.,Inc.

• Family Nurse Practitioner in Elkton, MD
• Providers in Elkton, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.

Verify at the official NPI Registry.