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NEW ERA WELLNESS, LLC
NPI 1053020412
Clinic/Center - Multi-Specialty in Baltimore, MD

Active since November 15, 2022CLIA 21D2180930 · Waiver
5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229(410) 775-6394 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Nov 15, 2022 (2 updates tracked since 2022).

About New Era Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW ERA WELLNESS, LLC (NPI 1053020412) is a healthcare organization registered as a multi-specialty in Baltimore, Maryland and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through March 23, 2028 and lists Tracy Renna Thomas, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1053020412
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNEW ERA WELLNESS, LLC
Location Address5411 OLD FREDERICK RD STE 2Baltimore, MD 21229-2126
Mailing Address5411 Old Frederick Rd Ste 2Baltimore, MD 21229-2126 · (410) 775-6394
Phone(410) 775-6394
Organization SubpartNo
Authorized OfficialTracy Renna ThomasCredentialing Specialist · (410) 661-9552
Enumeration DateNovember 15, 2022
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1053020412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
5411 OLD FREDERICK RD STE 2, Baltimore, MD 21229
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2180930

New Era Wellness, LLC · Baltimore, MD
Active · expires Mar 23, 2028
CLIA Number21D2180930
Laboratory TypePractitioner Other
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorMytis Agen-Davis
Laboratory Phone(410) 775-6394
Laboratory LocationNew Era Wellness, LLC5411 Old Frederick Road Suite 2, Baltimore, MD 21229
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MYRTIS MARVELL MCCAIN AGEN-DAVIS PMHNP-BC, FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5411 OLD FREDERICK RD STE 2
BALTIMORE, MD 21229
Baltimore City (410) 775-6394
NEW ERA WELLNESS, LLC
Nurse Practitioner (Family)
5411 OLD FREDERICK RD STE 2
BALTIMORE, MD 21229
Baltimore City (410) 775-6394
NEW ERA WELLNESS, LLC
Nurse Practitioner (Psychiatric/Mental Health)
5411 OLD FREDERICK RD STE 2
BALTIMORE, MD 21229
Baltimore City (410) 775-6394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Era Wellness, LLC's NPI number?

The NPI number for New Era Wellness, LLC is 1053020412. It was assigned to this organization in the NPPES registry on November 15, 2022.

Where is New Era Wellness, LLC located?

New Era Wellness, LLC is located at 5411 Old Frederick Rd Ste 2, Baltimore, MD 21229. The listed phone number is (410) 775-6394.

What is New Era Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does New Era Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2180930) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Era Wellness, LLC was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.