Individual provider Active NPI

Hope Lopresti Poulakos, AGNP

  • Gerontology Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1669168720
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R251534 Issued in MD
Practice address
2191 Defense Hwy
Crofton, MD 21114-2931
Phone
(410) 451-9091
NPI assigned
Apr 12, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 R251534 MD Primary

Addresses

Primary practice location

2191 Defense Hwy
Crofton, MD 21114-2931

Mailing address

2612 Summers Ridge Dr
Odenton, MD 21113-1593
Phone (908) 309-0226

Other practice location 1

2612 Summers Ridge Dr
Odenton, MD 21113-1593
Phone (908) 309-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240430001484 MD Practitioner - Nurse Practitioner 4385084979 Reassigns benefits to 1 organization
I20241206003716 DC Practitioner - Nurse Practitioner 4385084979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2191 Defense Hwy
Suite 201
Crofton, MD 21114-2469
Phone (410) 451-9091

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Oct 4, 2024 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Feb 3, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Feb 3, 2024 Accepting new patients
Medical Faculty Associates, Inc PastSince Apr 16, 2023 Accepting new patients

Locations

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

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

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

Interoperability endpoints

  • Direct secure messaging: hpoulakos160602@direct.aahs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1669168720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 SUMMERS RIDGE DR",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131593",
            "telephone_number": "908-309-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 DEFENSE HWY",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142931",
            "telephone_number": "410-451-9091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2612 Summers Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131593",
            "country_code": "US",
            "telephone_number": "908-309-0226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULAKOS",
        "first_name": "HOPE",
        "middle_name": "LOPRESTI",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R251534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.