Active NPI
Izabela M. Plucinska, C.R.N.P.
- Family Nurse Practitioner
- Arnold, MD
National Provider Identifier
1720070626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R149225
- Practice address
- 1509 Ritchie Hwy
Arnold, MD 21012-2742 - Phone
- (410) 757-7600
- Fax
- (410) 626-8043
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R149225 | MD | Primary |
Addresses
Primary practice location
1509 Ritchie Hwy
Arnold, MD 21012-2742
Mailing address
1111 Benfield Blvd
Suite 200
Millersville, MD 21108-3002
Phone (410) 729-5100
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101974 | Other | MD | JHHC PROVIDER NUMBER |
| 405983200 | Medicaid | MD | |
| 9717220 | Other | MD | AETNA PPO |
| P00338933 | Other | MD | RAILROAD MEDICARE |
| 643657-01 | Other | MD | CAREFIRST MD RENDERING |
| 7605-0070 | Other | MD | CAREFIRST BLUECHOICE |
| 1968324 | Other | MD | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R149225 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1720070626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 BENFIELD BLVD",
"address_2": "SUITE 200",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211083002",
"telephone_number": "410-729-5100",
"fax_number": "410-729-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 RITCHIE HWY",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210122742",
"telephone_number": "410-757-7600",
"fax_number": "410-626-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUCINSKA",
"first_name": "IZABELA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R149225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC PROVIDER NUMBER",
"identifier": "101974",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405983200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "9717220",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00338933",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD RENDERING",
"identifier": "643657-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "7605-0070",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1968324",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arnold, MD
- Physical Therapy for Women and Children
- Physiotherapy Associates Inc
- Victor M. Plavner, M.D.
- Play & Thrive Speech Therapy LLC
- Play & Thrive Speech Therapy LLC (Play & Thrive Speech Therapy)
- Terri E Polm, M.A.
- Positive Speech Partners LLC
- Ilana Posner, LMSW
- Elizabeth Posoli, P.A.
- Webra Price-Douglas, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.