Active NPI
Mary Ann Lucero-Pierce, CRNP
- Nurse Practitioner
- California, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R139362
- Practice address
- 22590 Shady CT
California, MD 20619-5009 - Phone
- (301) 373-0500
- NPI assigned
- Sep 19, 2018
- Last updated
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R139362 | MD | Primary |
Addresses
Primary practice location
22590 Shady CT
California, MD 20619-5009
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7918
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)
11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 61.45
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 79.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics at Calvert LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients |
Locations
22590 Shady Ct
California, MD 20619
Phone (301) 737-0500
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
Organizations & group practices 5
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.
-
dba MedStar Shah Medical Group, LLC
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
-
- Hospitalist Physician
- Prince Frederick, MD
- NPI 1033404207
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar St. Mary's Hospital
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1609350206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871",
"telephone_number": "301-373-7918",
"fax_number": "301-373-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22590 SHADY CT",
"city": "CALIFORNIA",
"state": "MD",
"postal_code": "206195009",
"telephone_number": "301-373-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO-PIERCE",
"first_name": "MARY ANN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R139362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in California, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.