ANGELA FETTY
NPI 1093128530
Nurse Practitioner - Pediatrics, Critical Care in Baltimore, MD
About Angela Fetty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA FETTY (NPI 1093128530) is an individual pediatrics, critical care provider in Baltimore, Maryland, licensed in Maryland (R197016) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela Fetty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Angela Fetty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Ranson, WV 25438
- Reassigned Medicare billing, West Virginia enrollment
- 2,471 clinicians in this Medicare group
Martinsburg, WV 25401
- Reassigned Medicare billing, West Virginia enrollment
- 208 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Angela Fetty's NPI number?
The NPI number for Angela Fetty is 1093128530. It was assigned to this individual provider in the NPPES registry on June 3, 2014.
Where is Angela Fetty located?
Angela Fetty practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-6453.
What is Angela Fetty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Angela Fetty enrolled in Medicare?
Yes. Angela Fetty is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Angela Fetty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Fetty reassigns Medicare benefits to 3 organizations: Emergency Medicine Associates P.A., P.C. (Falls Church, VA), West Virginia University Medical Corporation (Ranson, WV) and University Healthcare Physicians Inc (Martinsburg, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Fetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angela Fetty accept?
Health plans from CareSource list Angela Fetty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Angela Fetty was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Angela Fetty · NPI 1093128530
Pediatrics, Critical Care physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 3, 2014.
## Identity
- **NPI:** 1093128530 (Entity type: Individual)
- **Enumerated:** June 3, 2014
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** R197016 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1544
- **Phone:** (410) 328-6453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Associates P.A., P.C. (NPI 1134117393, Falls Church, VA); West Virginia University Medical Corporation (NPI 1215785563, Ranson, WV); University Healthcare Physicians Inc (NPI 1417371329, Martinsburg, WV) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093128530) · Data from the CMS NPPES public registry.