NPIMap

Individual provider Active NPI

Victoria Ann Blucher, CRNP

  • Family Nurse Practitioner
  • Havre de Grace, MD
National Provider Identifier
1831354828
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R144844 Issued in MD
Practice address
2027 Pulaski Hwy Ste 203
Havre de Grace, MD 21078-2147
Phone
(443) 843-6262
Fax
(443) 843-6264
NPI assigned
Jul 19, 2008
Last updated
May 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 R144844 MD Primary

Addresses

Primary practice location

2027 Pulaski Hwy Ste 203
Havre de Grace, MD 21078-2147

Mailing address

414 Spry Island Rd
Joppa, MD 21085-5436
Phone (443) 559-2751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081219000212 MD Practitioner - Nurse Practitioner 9032271481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Upper Chesapeake Primary Care,LLCGroup PAC ID 3476637737, 17 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

2027 Pulaski Hwy
Suite 203
Havre de Grace, MD 21078-2147
Phone (443) 843-6262

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R144844MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Primary Care,LLC CurrentSince Jun 17, 2019 Accepting new patients
Upper Chesapeake Primary Care,LLC PastSince May 12, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

650 McHenry Rd
Ste 3200
Aberdeen, MD 21001
Phone (443) 843-6262

2 Colgate Dr
Ste 103
Forest Hill, MD 21050
Phone (410) 420-0161

2027 Pulaski Hwy
Ste 203
Hvre de Grace, MD 21078
Phone (410) 658-4099

Interoperability endpoints

  • Direct secure messaging: vblucher115172@direct.umm.edu

Organizations & group practices 4

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 7

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": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1831354828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SPRY ISLAND RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210855436",
            "telephone_number": "443-559-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 PULASKI HWY STE 203",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782147",
            "telephone_number": "443-843-6262",
            "fax_number": "443-843-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUCHER",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R144844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.