Individual provider Active NPI

Richelle Antoynette Genco, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1982122800
Registry record updated Nov 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R156867 Issued in MD
Practice address
Jhoc Outpatient
601 North Caroline , 6TH Floor, Room 6064
Baltimore, MD 21287
Phone
(410) 955-2195
Fax
(443) 287-4654
NPI assigned
Aug 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2017

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 R156867 MD Primary

Addresses

Primary practice location

Jhoc Outpatient
601 North Caroline , 6TH Floor, Room 6064
Baltimore, MD 21287

Mailing address

9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, AK2 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
I20171130001434 MD Practitioner - Nurse Practitioner 6709143654 Reassigns benefits to 1 organization
I20200220001354 AK Practitioner - Nurse Practitioner 6709143654 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince Dec 28, 2019 Accepting new patients
Norton Sound Health Corporation CurrentSince Dec 28, 2019 Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2017 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2017 Accepting new patients

Locations

601 N Caroline St
Fl 6
Baltimore, MD 21287
Phone (410) 955-1686

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Interoperability endpoints

  • Direct secure messaging: rgenco@direct.nshcorp.org

Organizations & group practices 5

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509753600000",
    "number": "1982122800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6423",
            "fax_number": "410-933-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JHOC OUTPATIENT",
            "address_2": "601 NORTH CAROLINE , 6TH FLOOR, ROOM 6064",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21287",
            "telephone_number": "410-955-2195",
            "fax_number": "443-287-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENCO",
        "first_name": "RICHELLE",
        "middle_name": "ANTOYNETTE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R156867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.