Individual provider Active NPI

Bianca Rose Nieves-Speakman

  • Family Nurse Practitioner
  • Essex, MD
National Provider Identifier
1962376525
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R239276 Issued in MD
Practice address
120 Eastern Blvd
Essex, MD 21221-7020
Phone
(410) 687-8818
NPI assigned
Oct 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 R239276 MD Primary

Addresses

Primary practice location

120 Eastern Blvd
Essex, MD 21221-7020

Mailing address

1 Weyburn CT
Baltimore, MD 21237-1718
Phone (443) 848-0568

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
I20251114000042 MD Practitioner - Nurse Practitioner 3072004324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charm City Healthcare LLCGroup PAC ID 0547320822, 5 clinicians

Practice addresses (Care Compare)

120 Eastern Blvd
Suite 122
Essex, MD 21221-7020
Phone (410) 687-8818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R239276MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charm City Healthcare, L.L.C. CurrentSince Oct 3, 2025 Accepting new patients

Locations

120 Eastern Blvd
Essex, MD 21221
Phone (410) 687-8818

223 Eastern Blvd
Essex, MD 21221
Phone (410) 284-2400

120 Eastern Blvd
Ste 122
Essex, MD 21221
Phone (410) 687-8818

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": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1962376525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEYBURN CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212371718",
            "telephone_number": "443-848-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212217020",
            "telephone_number": "410-687-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES-SPEAKMAN",
        "first_name": "BIANCA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R239276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

Verify at the official NPI Registry.