Individual provider Active NPI

Genna Sellers, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Westminster, MD
National Provider Identifier
1649662776
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R186601 Issued in MD
Practice address
910 Washington Rd Ste a
Westminster, MD 21157-5845
Phone
(443) 205-1111
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R186601 MD
Gerontology Nurse Practitioner 363LG0600X R186601 MD
Primary Care Nurse Practitioner 363LP2300X R186601 MD
Adult Health Nurse Practitioner 363LA2200X R186601 MD Primary

Addresses

Primary practice location

910 Washington Rd Ste a
Westminster, MD 21157-5845

Mailing address

6190 Georgetown Blvd
Eldersburg, MD 21784-6460
Phone (410) 552-5050

Other practice location 1

1380 Progress Way Ste 114
Eldersburg, MD 21784-6499
Phone (443) 205-1111

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
I20150709000124 MD Practitioner - Nurse Practitioner 3072825736 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R186601MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 1, 2021 Accepting new patients
Privia Medical Group, LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

1380 Progress Way
Ste 114
Sykesville, MD 21784
Phone (410) 795-1888

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

910 Washington Rd
Ste A
Westminster, MD 21157
Phone (410) 801-7630

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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1649662776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 GEORGETOWN BLVD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846460",
            "telephone_number": "410-552-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WASHINGTON RD STE A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575845",
            "telephone_number": "443-205-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Progress Way Ste 114",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217846499",
            "country_code": "US",
            "telephone_number": "443-205-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "GENNA",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R186601",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R186601",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R186601",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R186601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.