Individual provider Active NPI

Nirmala Thomas, CRNP

  • Primary Care Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1639651680
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R156644 Issued in MD
Practice address
2131 Davidsonville Rd
Crofton, MD 21114-1632
Phone
(410) 507-7617
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R156644 MD Primary

Addresses

Primary practice location

2131 Davidsonville Rd
Crofton, MD 21114-1632

Mailing address

8316 Canyon Oak Dr
Severn, MD 21144-6811
Phone (240) 463-0239

Other practice location 1

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (240) 463-0239

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherN/A

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
I20181213000017 MD Practitioner - Nurse Practitioner 1759626179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Elder Care LLCGroup PAC ID 8628452836, 6 clinicians

Practice addresses (Care Compare)

2131 Davidsonville Rd
Crofton, MD 21114-1632
Phone (410) 507-7617

Merit-based Incentive Payment System (MIPS)

Final score
89.32 of 100Reported as group
Quality
90
Improvement activities
40
Cost
61.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R156644MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2018 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Maryland Elder Care LLC CurrentSince Aug 15, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2018 Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2700 Southaven Rd
Annapolis, MD 21401
Phone (410) 349-5100

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

305 College Pkwy
Arnold, MD 21012
Phone (410) 431-5106

2131 Davidsonville Rd
Crofton, MD 21114
Phone (301) 261-3637

1221 Waugh Chapel Rd
Gambrills, MD 21054
Phone (410) 923-2020

Organizations & group practices 4

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1639651680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 CANYON OAK DR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211446811",
            "telephone_number": "240-463-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 DAVIDSONVILLE RD",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141632",
            "telephone_number": "410-507-7617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013773",
            "country_code": "US",
            "telephone_number": "240-463-0239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NIRMALA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R156644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.