Individual provider Active NPI

Johanna Devine

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1801377304
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R201720 Issued in MD
Practice address
2003 Medical Pkwy Ste 150
Annapolis, MD 21401-0317
Phone
(443) 481-1199
Fax
(443) 481-1495
NPI assigned
Aug 23, 2018
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R201720 MD Primary

Addresses

Primary practice location

2003 Medical Pkwy Ste 150
Annapolis, MD 21401-0317

Mailing address

2001 Medical Pkwy
Medical Staff Office
Annapolis, MD 21401-8391

Other identifiers 2

IdentifierTypeStateIssuer
777675600MedicaidMD
747365OtherMDMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20181227000068 DC Practitioner - Nurse Practitioner 2668717380 Reassigns benefits to 6 organizations
I20181227000169 MD Practitioner - Nurse Practitioner 2668717380 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R201720MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics Rehabilitative Services - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Mdics Rehabilitative Services LLC CurrentSince May 1, 2025 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Oct 13, 2022 Accepting new patients
Mdics at Civista LLC CurrentSince May 1, 2025 Accepting new patients
Alignmed Medical Group, PC CurrentSince Feb 18, 2025 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
Kinetic Primary Care CurrentSince Dec 13, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2018 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2018 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Feb 18, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Feb 18, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2018 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Oct 13, 2022 Accepting new patients
Alignmed Partners, PC CurrentSince Feb 18, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Feb 18, 2025 Accepting new patients

Locations

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

2003 Medical Pkwy
Ste 150
Annapolis, MD 21401
Phone (410) 849-2273

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

30 North Pl
Frederick, MD 21701
Phone (301) 695-6618

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133

1106 Annapolis Rd
Ste 220
Odenton, MD 21113
Phone (443) 481-1199

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

Interoperability endpoints

  • Direct secure messaging: jdevine62821@direct.aahs.org

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1801377304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY STE 150",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214010317",
            "telephone_number": "443-481-1199",
            "fax_number": "443-481-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JOHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R201720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777675600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "747365",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.