Individual provider Active NPI

Adena Magloire

  • Gerontology Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1770096380
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R163212 Issued in MD
Practice address
400 E Pratt St FL 8
Baltimore, MD 21202-3180
Phone
(410) 412-3964
Fax
(855) 737-5542
NPI assigned
Nov 6, 2017
Last updated
Nov 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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 R163212 MD Primary

Addresses

Primary practice location

400 E Pratt St FL 8
Baltimore, MD 21202-3180

Mailing address

333 Commerce St Ste 700
Nashville, TN 37201-1835
Phone (615) 454-9850

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171212000596 MD Practitioner - Nurse Practitioner 1153689633 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808

6535 N Charles St
Baltimore, MD 21204-5822

6565 N Charles St
Baltimore, MD 21204-6808

6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658

6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123

6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658

6701 N Charles St
Baltamore, MD 21204-6808

6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808

6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Pain & Rehabilitation Center CurrentSince May 1, 2020 Accepting new patients
Adfinitas Health at Upper Chesapeake, LLC CurrentSince Jul 1, 2023 Accepting new patients
Greater Baltimore Medical Center, Inc. Gerontology CurrentSince Jan 29, 2024 Accepting new patients
Mdics at BWMC LLC CurrentSince Mar 9, 2021 Accepting new patients
Ritu Bhambhani LLC CurrentSince Aug 5, 2024 Accepting new patients
Adfinitas Health at Upper Chesapeake Aberdeen LLC CurrentSince Jul 1, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake Harford Memorial LLC CurrentSince Jul 1, 2023 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Jan 29, 2024 Accepting new patients
Choice Pain & Rehabilitation Center, LLC CurrentSince May 1, 2020 Accepting new patients
Nova Interventional Pain Management CurrentSince Jul 12, 2019 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

100 Walter Ward Blvd
Ste 3
Abingdon, MD 21009
Phone (410) 569-3333

100 Walter Ward Blvd
Ste 300
Abingdon, MD 21009
Phone (410) 569-3333

1005 Northpoint Blvd
Ste 722
Baltimore, MD 21224
Phone (240) 534-3289

312 Martin Luther King Jr Blvd
Ste 102
Baltimore, MD 21201
Phone (410) 800-4631

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

1952A Pulaski Hwy
Edgewood, MD 21040
Phone (410) 538-7000

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

8843 Greenbelt Rd
Greenbelt, MD 20770
Phone (240) 297-9857

501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400

6535 N Charles St
Ste 125
Towson, MD 21204
Phone (443) 849-3779

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

5430 Campbell Blvd
Ste 111
White Marsh, MD 21162
Phone 41077789719

Interoperability endpoints

  • Direct secure messaging: amagloire331974@direct.umm.edu
  • Direct secure messaging: amagloire66294@gbmcdirect.org

Organizations & group practices 11

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 1

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1770096380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011835",
            "telephone_number": "615-454-9850",
            "fax_number": "855-737-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E PRATT ST FL 8",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023180",
            "telephone_number": "410-412-3964",
            "fax_number": "855-737-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLOIRE",
        "first_name": "ADENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R163212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.