Individual provider Active NPI

Amy Gawne, FNP-C

  • Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1962226506
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R216322 Issued in MD
Practice address
7801 Elvaton CT Ste 3
Glen Burnie, MD 21061-6763
Phone
(410) 768-4037
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 R216322 MD Primary

Addresses

Primary practice location

7801 Elvaton CT Ste 3
Glen Burnie, MD 21061-6763

Mailing address

7801 Elvaton CT Ste 3
Glen Burnie, MD 21061-6763

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
I20250130001248 MD Practitioner - Nurse Practitioner 2062941453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spine and Joint Institute LLCGroup PAC ID 6608282231, 3 clinicians

Practice addresses (Care Compare)

7801 Elvaton CT
Suite 3
Glen Burnie, MD 21061-6763
Phone (410) 753-4244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R216322MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Joint Institute LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

7226 Lee Deforest Dr
Ste 102
Columbia, MD 21046
Phone (410) 590-4616

7801 Elvaton Ct
Ste 3
Glen Burnie, MD 21061
Phone (410) 753-4244

325 Hospital Dr
Ste 108
Glen Burnie, MD 21061
Phone (240) 678-7309

Organizations & group practices 1

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": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1962226506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 ELVATON CT STE 3",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 ELVATON CT STE 3",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616763",
            "telephone_number": "410-768-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWNE",
        "first_name": "AMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R216322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.