Individual provider Active NPI

Mary Hemans, NP

  • Family Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1962073692
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06210187 Issued in MD
Practice address
3150 N Ridge Rd Apt 304
Ellicott City, MD 21043-3697
Phone
(443) 325-2529
NPI assigned
Jul 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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 F06210187 MD Primary

Addresses

Primary practice location

3150 N Ridge Rd Apt 304
Ellicott City, MD 21043-3697

Mailing address

3150 N Ridge Rd Apt 304
Ellicott City, MD 21043-3697
Phone (410) 680-8475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250318003883 NC Practitioner - Nurse Practitioner 3971025099 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06210187MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Nov 30, 2024 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

1101 Hartwell St
Garner, NC 27529
Phone (919) 772-8888

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1962073692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N RIDGE RD APT 304",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433697",
            "telephone_number": "410-680-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N RIDGE RD APT 304",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433697",
            "telephone_number": "443-325-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMANS",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F06210187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.