Individual provider Active NPI

Gena Denice Nance, CRNP

  • Family Nurse Practitioner
  • Berlin, MD
National Provider Identifier
1992045363
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R173550 Issued in MD
Practice address
314 Franklin Ave Ste 304
Berlin, MD 21811-1238
Phone
(410) 629-1450
Fax
(410) 629-1460
NPI assigned
Feb 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC003077 MD
Family Nurse Practitioner 363LF0000X R173550 MD Primary

Addresses

Primary practice location

314 Franklin Ave Ste 304
Berlin, MD 21811-1238

Mailing address

314 Franklin Ave Ste 304
Berlin, MD 21811-1238
Phone (410) 629-1450

Other identifiers 2

IdentifierTypeStateIssuer
119591300MedicaidMD
1992045363MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.Atlanticgeneral.org Health Information Exchange (HIE) TidalHealth Atlantic, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20140724000279 MD Practitioner - Nurse Practitioner 2668698846 Reassigns benefits to 3 organizations
I20200514002420 DE Practitioner - Nurse Practitioner 2668698846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

11107 Racetrack Rd
Berlin, MD 21811-3279
Phone (410) 208-9761

6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 629-0041

9714 Healthway Dr
Berlin, MD 21811-1154
Phone (410) 641-3340

Hospital & facility affiliations

  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
70.92
Promoting interoperability
98
Improvement activities
40
Cost
71.41

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC003077MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic General Hospital Corporation CurrentSince Mar 1, 2020 Accepting new patients
State of Delaware-Stockley CurrentSince Jun 29, 2023 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Beebe Physician Network Inc. Family CurrentSince Jun 29, 2023 Accepting new patients
Atlantic General Hospital Corp CurrentSince Mar 1, 2020 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Atlantic Immedicare LLC Past Accepting new patients
J O Meadows MD PA Past Accepting new patients

Locations

33663 Bayview Medical Dr
#2
Lewes, DE 19958
Phone (302) 645-9325

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

96 Atlantic Ave
Ste 101
Ocean View, DE 19970
Phone (302) 541-4460

38394 DuPont Blvd
Unit H
Selbyville, DE 19975
Phone (302) 524-5007

314 Franklin Ave
Ste 304
Berlin, MD 21811
Phone (410) 629-1450

9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600

10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811

10231 Old Ocean City Blvd
Ste 205
Berlin, MD 21811
Phone (410) 629-6800

314 Franklin Ave
Berlin, MD 21811
Phone (410) 641-0277

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1992045363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 304",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111238",
            "telephone_number": "410-629-1450",
            "fax_number": "410-629-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 304",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111238",
            "telephone_number": "410-629-1450",
            "fax_number": "410-629-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "GENA",
        "middle_name": "DENICE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC003077",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R173550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992045363",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.Atlanticgeneral.org",
            "affiliation": "Y",
            "endpointDescription": "Hospital",
            "affiliationName": "TidalHealth Atlantic, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "314 Franklin Ave Ste 304",
            "city": "Berlin",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218111238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.