Immanuellin Delfin, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R188794 Issued in MD

Practice address

6830 Hospital Dr Ste 204
Rosedale, MD 21237-4377

Phone

(443) 559-5063

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By 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 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maryland Kidney Group PAGroup PAC ID 2860384328, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: idelfin56480@direct.acumenmd.com

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.

• Maryland Kidney Group PA

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1659336261
  Medicare reassignment Care Compare group NPD
• Wellspring Clinic LLC

  • Physical Medicine & Rehabilitation Physician
  • Bel Air, MD
  • NPI 1831443787
  Medicare reassignment

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1760265391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MAYA WAY",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374242",
            "telephone_number": "443-938-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 HOSPITAL DR STE 204",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374377",
            "telephone_number": "443-559-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELFIN",
        "first_name": "IMMANUELLIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R188794",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R188794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Gilman Davis III, LCPC
• Victoria Davis
• Maude Davoh
• Kyree Day
• David Delamatre, LCSW-C
• Britany Alexandria Dennis
• Desi Home Care of MD LLC
• Peter Gus Diacoloukas, DDS
• Diamond Medical and Health Services Inc
• Stephanie Dibella

• Family Nurse Practitioner in Rosedale, MD
• Providers in Rosedale, 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 Aug 16, 2023; 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.