Marylynn Gonsalves, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R136202 Issued in MD

Practice address

200 Girard St Ste 212
Gaithersburg, MD 20877-3490

Phone

(301) 216-0880

Fax

(301) 216-2891

NPI assigned

Jun 22, 2006

Last updated

Mar 4, 2013By 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 DC

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marylynn.gonsalves@cpcl.eclinicaldirectplus.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.

• Comprehensive Primary Care and Associates LLC

  dba CloseKnit

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1831492586

  DC

  Medicare reassignment Care Compare group
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Home Health Services Inc

  • Home Health Agency
  • Silver Spring, MD
  • NPI 1598826448
  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1871539064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GIRARD ST",
            "address_2": "SUITE 212A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773466",
            "telephone_number": "301-216-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GIRARD ST STE 212",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773490",
            "telephone_number": "301-216-0880",
            "fax_number": "301-216-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSALVES",
        "first_name": "MARYLYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP13979",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R136202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yuliana Gomez Paternina
• Irene Guadalupe Gomez, LGPC
• Kelvin Gonzalez
• Good People Wellness Center, Inc
• Good Shepherd Physical Therapy and Wellness Center,LLC
• Maxim Alexander Goohs
• Anna Marie Gordin, LCSW C

• Family Nurse Practitioner in Gaithersburg, MD
• Providers in Gaithersburg, 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 Mar 4, 2013; 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.