Individual provider Active NPI

Angelica Aquino Javillo, CRNP

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1891196788
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R162372 Issued in MD
Practice address
201 E University Pkwy
CVDL, Medstar Union Memorial Hospital
Baltimore, MD 21218-2829
Phone
(410) 554-6642
Fax
(410) 554-2333
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R162372 MD Primary

Addresses

Primary practice location

201 E University Pkwy
CVDL, Medstar Union Memorial Hospital
Baltimore, MD 21218-2829

Mailing address

201 E University Pkwy
CVDL, Medstar Union Memorial Hospital
Baltimore, MD 21218-2829
Phone (410) 554-6642

Other names 1

  • Angelica Concepcion Aquino Former name

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
I20150505001311 MD Practitioner - Nurse Practitioner 0547589020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

2401 E Belvedere Ave
Baltimore, MD 21215-5216

2401 W Belvedere Ave
Baltimore, MD 21215-5271

2411 W Belvedere Ave
Rehab Medicine Associates
Baltimore, MD 21215-5271
Phone (410) 601-8691

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Mar 24, 2015 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Mar 24, 2015 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

6701 N Charles St
#5104
Baltimore, MD 21204
Phone (443) 849-8989

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

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1891196788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY",
            "address_2": "CVDL, MEDSTAR UNION MEMORIAL HOSPITAL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-6642",
            "fax_number": "410-554-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY",
            "address_2": "CVDL, MEDSTAR UNION MEMORIAL HOSPITAL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-6642",
            "fax_number": "410-554-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVILLO",
        "first_name": "ANGELICA",
        "middle_name": "AQUINO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R162372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "AQUINO",
            "middle_name": "CONCEPCION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.