Individual provider Active NPI

Blessing Gabriel

  • Gerontology Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1629504477
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R198392 Issued in MD
Practice address
9014 Amber Oaks Way
Owings Mills, MD 21117-5036
Phone
(443) 985-6011
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R198392 MD Primary

Addresses

Primary practice location

9014 Amber Oaks Way
Owings Mills, MD 21117-5036

Mailing address

9014 Amber Oaks Way
Owings Mills, MD 21117-5036
Phone (443) 985-6011

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
I20171206002803 MD Practitioner - Nurse Practitioner 8224395157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3211 Belair Rd
Suite 1
Baltimore, MD 21213-1287
Phone (443) 985-6011

9014 Amber Oaks Way
Owings Mills, MD 21117-5036
Phone (443) 985-6011

Merit-based Incentive Payment System (MIPS)

Final score
98.96 of 100Reported as group
Quality
95.33
Improvement activities
40
Cost
69.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R198392MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Maryland Star Choice LLC CurrentSince Jan 1, 2021 Accepting new patients
Optimum Medical Group Current Accepting new patients
Optimum Medical Group LLC CurrentSince Jul 14, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

6018 Harford Rd
Baltimore, MD 21214
Phone (443) 570-2706

5999 Harpers Farm Rd
Ste W230
Columbia, MD 21044
Phone (347) 294-5166

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1629504477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 AMBER OAKS WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175036",
            "telephone_number": "443-985-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 AMBER OAKS WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175036",
            "telephone_number": "443-985-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "BLESSING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R198392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.