Beth Anne Nacincik

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

R072931 Issued in MD

Practice address

Usameddac
2480 Llewellyn Ave
Fort George G. Meade, MD 20755

Phone

(410) 278-5475

Fax

(877) 811-2184

NPI assigned

Jan 28, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1699588400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USAMEDDAC",
            "address_2": "2480 LLEWELLYN AVE",
            "city": "FORT GEORGE G. MEADE",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "410-278-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USAMEDDAC",
            "address_2": "2480 LLEWELLYN AVE",
            "city": "FORT GEORGE G. MEADE",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "410-278-5475",
            "fax_number": "877-811-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACINCIK",
        "first_name": "BETH",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R072931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Mitchell, PA
• Jesse Harris Monestersky, D.O.
• Loma Jean Moore, RN
• Yolanda Maria Muhammad
• Javier Alberto Muniz, M.D.
• Terryn Bonita Nelson, CRNP
• Yolanda Nicole Nelson
• Terry Dean Neville, M.D.
• Lee Shin Nicholson, FNP-BC
• Tolulope Olufunmilayo Obafemi, FNP-BC

• Case Management Registered Nurse in Fort George G. Meade, MD
• Providers in Fort George G. Meade, MD by specialty
• Case Management Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.