Individual provider Active NPI

Marianne Eggerl, WHNP-BC

  • Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1932503265
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R187033 Issued in MD
Practice address
2000 Medical Pkwy
Suite 304
Annapolis, MD 21401-3742
Phone
(410) 573-9530
Fax
(667) 204-7229
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R187033 MD Primary

Addresses

Primary practice location

2000 Medical Pkwy
Suite 304
Annapolis, MD 21401-3742

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (667) 204-7212

Other practice location 1

1630 Main St Ste 211
Chester, MD 21619-2793
Phone (410) 573-9530

Other practice location 2

2401 Brandermill Blvd Ste 350
Gambrills, MD 21054-1617
Phone (410) 573-9530

Other practice location 3

18 Magothy Beach Rd Ste A
Pasadena, MD 21122-4477
Phone (410) 573-9530

Other identifiers 2

IdentifierTypeStateIssuer
386751ZDWSOtherMDMEDICARE
386751Y5ZOtherMDMEDICARE

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
I20150127000187 MD Practitioner - Nurse Practitioner 7012231863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

1630 Main St
Suite 211
Chester, MD 21619-2793
Phone (410) 573-9530

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R187033MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of MD Obstetrical and Gynecological Asso. PA CurrentSince Dec 1, 2014 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 1, 2017 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 1, 2017 Accepting new patients

Locations

201 Defense Hwy
Ste 100
Annapolis, MD 21401
Phone (443) 481-6549

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

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2000 Medical Pkwy
Ste 304
Annapolis, MD 21401
Phone (410) 573-9530

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

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

1630 Main St
Ste 211
Chester, MD 21619
Phone (410) 573-9530

Interoperability endpoints

  • Direct secure messaging: meggerl36047@direct.aahs.org

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 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": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1932503265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "667-204-7212",
            "fax_number": "443-481-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "SUITE 304",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Main St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192793",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Brandermill Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541617",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Magothy Beach Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211224477",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGERL",
        "first_name": "MARIANNE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R187033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "386751ZDWS",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "386751Y5Z",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.