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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY ALICE OLDS CRNP
NPI 1154007409
Nurse Practitioner - Family in Ellicott City, MD

Active since June 22, 2023PECOS Enrolled
4775 ILKLEY MOOR LN, ELLICOTT CITY, MD 21043(443) 904-2099 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Jun 22, 2023 (2 updates tracked since 2023).

About Mary Alice Olds Crnp NPPES

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

MARY ALICE OLDS CRNP (NPI 1154007409) is an individual family provider in Ellicott City, Maryland, licensed in Maryland (R199404) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154007409
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ALICE OLDSCredential: CRNP
Location Address4775 ILKLEY MOOR LNEllicott City, MD 21043-6531
Mailing Address4775 Ilkley Moor LnEllicott City, MD 21043-6531 · (443) 904-2099
Phone(443) 904-2099
Sole ProprietorYes
Enumeration DateJune 22, 2023
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1154007409 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
License✔ Licensed in MD · R199404
4775 ILKLEY MOOR LN, Ellicott City, MD 21043
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Alice Olds Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Olds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personic Virtual Clinic LLC
3.3 mi
Wound Care
6095 MARSHALEE DR STE 130
Elkridge, MD 21075
  • Reassigned Medicare billing, Maryland enrollment
  • 13 clinicians in this Medicare group
NPI 1740878420 (251) 901-3011

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

Areas of Expertise CMS Part B claims 4

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
87 services36 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
71 services19 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
30 services13 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21043 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
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mary Olds's NPI number?

The NPI number for Mary Olds is 1154007409. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Mary Olds located?

Mary Olds practices at 4775 Ilkley Moor Ln, Ellicott City, MD 21043. The listed phone number is (443) 904-2099.

What is Mary Olds's specialty?

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

Is Mary Olds enrolled in Medicare?

Yes. Mary Olds is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Olds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Olds reassigns Medicare benefits to Personic Virtual Clinic LLC (Elkridge, MD). The 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 Mary Olds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Olds accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Olds 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 Mary Olds was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.