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NINNA NANA
NPI 1114511797
Physician Assistant in Glen Burnie, MD

Active since February 24, 2021PECOS EnrolledAccepts Medicare Assignment
84.79/100
CMS Quality Rating
804 LANDMARK DR STE 118, GLEN BURNIE, MD 21061(410) 863-4899(443) 873-2454 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2021, Feb 24, 2021 (2 updates tracked since 2021).

About Ninna Nana NPPES

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

NINNA NANA (NPI 1114511797) is an individual physician assistant in Glen Burnie, Maryland, licensed in Maryland (C08151) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and maintains a secondary practice location in Lillington.

NPPES Registry Identity

NPI1114511797
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNINNA NANA
Location Address804 LANDMARK DR STE 118Glen Burnie, MD 21061-4486
Mailing Address804 Landmark Dr Ste 118Glen Burnie, MD 21061-4486 · (410) 863-4899 · Fax (443) 873-2454
Phone(410) 863-4899
Fax(443) 873-2454
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 24, 2021
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1114511797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C08151
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
804 LANDMARK DR STE 118, Glen Burnie, MD 21061
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Secondary Practice Location 1

Location 14350 US 421 SLillington, NC 27546-6760 · Phone (910) 893-1210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ninna Nana is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254720568
PECOS Enrollment IDI20211108001036
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
150 services104 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.7
Promoting Interoperability100
Improvement Activities40
Cost79.62

Other Providers at the Same Location NPPES 4

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

MFONISO D UMOREN M.D.
Internal Medicine (Gastroenterology)
804 LANDMARK DR STE 118
GLEN BURNIE, MD 21061
Anne Arundel County (410) 863-4899
THERESA SIOBHAN DONOHUE LCPC
Counselor (Mental Health)
804 LANDMARK DR STE 118
GLEN BURNIE, MD 21061
Anne Arundel County (410) 863-7213
YOUNG JUN KIM FNP
Nurse Practitioner (Family)
804 LANDMARK DR STE 118
GLEN BURNIE, MD 21061
Anne Arundel County (410) 863-4899
MR. ANDREW M SACCHETTI L.C.P.C.
Counselor (Mental Health)
804 LANDMARK DR STE 118
GLEN BURNIE, MD 21061
Anne Arundel County (410) 863-7213

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 Ninna Nana's NPI number?

The NPI number for Ninna Nana is 1114511797. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Ninna Nana located?

Ninna Nana practices at 804 Landmark Dr Ste 118, Glen Burnie, MD 21061. The listed phone number is (410) 863-4899.

What is Ninna Nana's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ninna Nana enrolled in Medicare?

Yes. Ninna Nana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ninna Nana affiliated with any hospitals?

According to CMS data, Ninna Nana is affiliated with University Of MD Baltimore Washington Medical Center.

When was this NPI record last updated?

The NPPES record for Ninna Nana was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.