Theresa Anne Medicus, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R183562 Issued in MD

Practice address

1111 N Charles St
Baltimore, MD 21201-5505

Phone

(410) 837-2050

NPI assigned

Dec 4, 2015

Last updated

Jan 10, 2025By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mid-South Home Care Services, LLC

  dba Empatia Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Windsor Mill, MD
  • NPI 1992586408
  Medicare reassignment Care Compare group NPD
• Chase Brexton Health Services, Inc.

  dba Chase Brexton Health Care

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1588606305
  Medicare reassignment NPD
• CRH MD Management LLC

  dba Patriot Urgent Care

  • Urgent Care Clinic/Center
  • Reisterstown, MD
  • NPI 1598435059

  DC

  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment NPD
• Seton Medical Group, Inc

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1144409194
  Medicare reassignment NPD
• Mid-South Home Care Services, LLC

  dba Empatia Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Fairfax, VA
  • NPI 1326829821

  DC

  Medicare reassignment NPD
• Chase Brexton Health Services, Inc.

  dba Chase Brexton Health Care

  • Federally Qualified Health Center (FQHC)
  • Columbia, MD
  • NPI 1376589309
  NPD
• CRH MD Management LLC

  dba Patriot Urgent Care

  • Urgent Care Clinic/Center
  • Clinton, MD
  • NPI 1972263143
  NPD
• CRH MD Management, LLC

  dba Patriot Urgent Care

  • Urgent Care Clinic/Center
  • Fort Washington, MD
  • NPI 1841072477
  NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• Mid-South Home Care Services, LLC

  dba Empatia Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Alpharetta, GA
  • NPI 1154207769
  NPD

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1720453533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015505",
            "telephone_number": "410-837-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015505",
            "telephone_number": "410-837-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDICUS",
        "first_name": "THERESA",
        "middle_name": "ANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R183562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Practice Billing and Solution, LLC (Communities of Change, LLC)
• Medical Practice Billing and Solutions, LLC (Communities of Change)
• Medical Practice Billing and Solutions, LLC (Communities of Change)
• Medical Practice Billing and Solutions, LLC (Communities of Change)
• Medical Services Group, Inc. (NeighborCare Infusion)
• Medikol Health Center Inc
• Adrian Medina, DDS
• Catherine Medina, LCSW-C
• Elizabeth Febre Medina, C.R.N.A.
• Kevin L Medina

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.