Individual provider Active NPI

Angela V Gimose, MSN, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1952811465
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R197579 Issued in MD
Practice address
3001 S Hanover St Ste 520
Baltimore, MD 21225-1233
Phone
(443) 890-3632
Fax
(410) 554-2654
NPI assigned
Oct 10, 2017
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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 R197579 MD Primary

Addresses

Primary practice location

3001 S Hanover St Ste 520
Baltimore, MD 21225-1233

Mailing address

7604 Hearthside Way Unit 1036
Elkridge, MD 21075-7365
Phone (443) 858-8126

Other practice location 1

8607 2nd Ave Ste 505A
Silver Spring, MD 20910-3355
Phone (240) 641-8160

Other identifiers 2

IdentifierTypeStateIssuer
F07171190OtherMDCERTIFICATION NUMBER
R197579OtherMDLISENCE NUMBER

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
I20180305002591 DC Practitioner - Nurse Practitioner 6103187224 Reassigns benefits to 1 organization
I20200914000004 MD Practitioner - Nurse Practitioner 6103187224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Advanced Neighborhood PediatricsGroup PAC ID 8820221468, 2 clinicians

Practice addresses (Care Compare)

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

3001 S Hanover St
Baltimore, MD 21225-1233

8607 2ND Ave
Suite 505a
Silver Spring, MD 20910-3355
Phone (240) 641-8160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neighborhood Pediatrics CurrentSince Sep 22, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 30, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

8607 2nd Ave
Ste 505A
Silver Spring, MD 20910
Phone (240) 641-8160

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: angela.gimose.1@8141.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8141/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1952811465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 HEARTHSIDE WAY UNIT 1036",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757365",
            "telephone_number": "443-858-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S HANOVER ST STE 520",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "443-890-3632",
            "fax_number": "410-554-2654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8607 2nd Ave Ste 505A",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103355",
            "country_code": "US",
            "telephone_number": "240-641-8160",
            "fax_number": "240-331-0073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIMOSE",
        "first_name": "ANGELA",
        "middle_name": "V",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER",
            "identifier": "F07171190",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISENCE NUMBER",
            "identifier": "R197579",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.