VITAL CURE PRIMARY SERVICES LLC
NPI 1104677913
Nurse Practitioner - Family in Baltimore, MD
About Vital Cure Primary Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAL CURE PRIMARY SERVICES LLC (NPI 1104677913) is a healthcare organization registered as a family in Baltimore, Maryland and active in the NPI registry since March 2024. The organization lists Courtney Michelle Roberts, Owner/ Aprn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vital Cure Primary Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vital Cure Primary Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vital Cure Primary Services LLC's NPI number?
The NPI number for Vital Cure Primary Services LLC is 1104677913. It was assigned to this organization in the NPPES registry on March 29, 2024.
Where is Vital Cure Primary Services LLC located?
Vital Cure Primary Services LLC is located at 8508 Loch Raven Blvd Ste A, Baltimore, MD 21286. The listed phone number is (443) 377-5743.
What is Vital Cure Primary Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Vital Cure Primary Services LLC enrolled in Medicare?
Yes. Vital Cure Primary Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vital Cure Primary Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vital Cure Primary Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vital Cure Primary Services LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Vital Cure Primary Services Llc · NPI 1104677913
Family organization in Baltimore, Maryland. Organization record, active in the CMS NPPES registry since March 29, 2024.
## Identity
- **NPI:** 1104677913 (Entity type: Organization)
- **Enumerated:** March 29, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Courtney Roberts, OWNER/ APRN
## Practice location
- **Address:** 8508 LOCH RAVEN BLVD STE A, Baltimore, MD 21286-2354
- **Phone:** (443) 377-5743 · **Fax:** (443) 352-7015
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104677913) · Data from the CMS NPPES public registry.