Nany Conde, PA-C
Individual provider Active NPI Medical Physician Assistant · Annapolis, MD
NPI 1598087009 · NPPES record last updated Feb 26, 2010
Key facts
- NPI
- 1598087009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C0004175 (MD)
- Practice address
- 2007 Tidewater Colony Dr
Suite 1-a
Annapolis, MD 21401-2101 - Phone
- (443) 949-0814
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Privia Medical Group, LLC
Practice addresses (Care Compare)
11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845
Hospital & facility affiliations
- Medstar Southern Maryland Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- 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 |
|---|---|---|---|---|
| I20100406000573 | MD | Practitioner - Physician Assistant | 3072649680 | Reassigns benefits to 4 organizations |
| I20111117000680 | DC | Practitioner - Physician Assistant | 3072649680 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WHC Emerg Phys | Current |
Accepting new patients | |
| WHC Physician Group LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Washington Hospital Center Corp | Current |
Accepting new patients | |
| Maryland Inpatient Care Specialists LLC | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0004175 | MD | Yes |
Addresses
Primary practice location
2007 Tidewater Colony Dr
Suite 1-a
Annapolis, MD 21401-2101
Mailing address
15602 Plaid Dr
Laurel, MD 20707-5319
Phone (301) 275-7274
Other providers in Annapolis, MD
- Comprehensive Primary Care and Associates LLC
- Comprehensive Sleep Care Center, Inc.
- Compression Medical Services
- Compression Services, LLC
- Kayleigh Rae Conaway
- Gwen Marie Condon
- Jo Ellen Condon
- Confident Smiles Dentistry
- Confluence Mind and Performance
- Congruence Counseling & Psychology, LLC
All providers in Annapolis, MD · Medical Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2010. 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.