A1 IN-HOME PRIMARY CARE
NPI 1114516176
Nurse Practitioner - Family in Baltimore, MD

Active since January 14, 2021CLIA 21D2212398 · Waiver
1120 N CHARLES ST STE 109, BALTIMORE, MD 21201(443) 345-6009(877) 720-3447 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2025, Aug 25, 2023, Jan 14, 2021 (3 updates tracked since 2021).

About A1 In-home Primary Care NPPES

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

A1 IN-HOME PRIMARY CARE (NPI 1114516176) is a healthcare organization registered as a family in Baltimore, Maryland and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Carol Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1114516176
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameA1 IN-HOME PRIMARY CARE
Location Address1120 N CHARLES ST STE 109Baltimore, MD 21201-5592
Mailing Address1120 N Charles St Ste 109Baltimore, MD 21201-5592 · (443) 345-6009 · Fax (877) 720-3447
Fax(877) 720-3447
Organization SubpartNo
Authorized OfficialCarol EdwardsOwner · (443) 345-6009
Enumeration DateJanuary 14, 2021
Last NPPES UpdateFebruary 3, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1114516176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1120 N CHARLES ST STE 109, Baltimore, MD 21201

Other Identifiers 1

Medicaid598024100MD

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A1 In-home Primary Care 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 A1 In-Home Primary Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1013576560
1120 N CHARLES ST STE 109
Baltimore, MD 21201
(443) 345-6009
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 21D2212398

A1 In-Home Primary Care, LLC · Baltimore, MD
Active · expires Apr 14, 2027
CLIA Number21D2212398
Laboratory TypePractitioner Other
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorCarol A. Edwards
Laboratory Phone(443) 345-6009
Laboratory LocationA1 In-Home Primary Care, LLC1120 N Charles St #109, Baltimore, MD 21201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 A1 In-Home Primary Care's NPI number?

The NPI number for A1 In-Home Primary Care is 1114516176. It was assigned to this organization in the NPPES registry on January 14, 2021.

Where is A1 In-Home Primary Care located?

A1 In-Home Primary Care is located at 1120 N Charles St Ste 109, Baltimore, MD 21201. The listed phone number is (443) 345-6009.

What is A1 In-Home Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is A1 In-Home Primary Care enrolled in Medicare?

Yes. A1 In-Home Primary Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A1 In-Home Primary Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to A1 In-Home Primary Care. 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.

Does A1 In-Home Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2212398) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for A1 In-Home Primary Care was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.