MERITUS PALLIATIVE CARE
NPI 1205176393
Nurse Practitioner in Hagerstown, MD

NPI Status: Active since February 26, 2013

Contact Information

11116 MEDICAL CAMPUS RD
ROOM 2999
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 766-7603

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 21D2029575
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-11-2027

About MERITUS PALLIATIVE CARE

This page provides the complete NPI Profile along with additional information for Meritus Palliative Care, a provider established in Hagerstown, Maryland operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1205176393 assigned on February 2013. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Meritus Palliative Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Meritus Palliative Care. The authorized official of this NPI record is Mr. Joshua Repac (Cfo)

NPI
1205176393
Provider Legal Name
MERITUS MEDICAL CENTER INC
Other Organization Name
MERITUS PALLIATIVE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11116 MEDICAL CAMPUS RD ROOM 2999 HAGERSTOWN, MD 21742
Location Phone
(301) 766-7603
Mailing Address
11116 MEDICAL CAMPUS RD ROOM 2999 HAGERSTOWN, MD 21742
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-26-2013
Last Update Date
10-26-2022
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A nurse practitioner (NP) like Meritus Palliative Care is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License State
MD
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOSHUA REPAC

Authorized Official Title
CFO
Authorized Official Phone
(301) 790-9351

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2029575
Facility Type
Physician Office
Certificate Effective Date
September 12, 2025
Certificate Expiration Date
September 11, 2027
Laboratory Director
IJEOMA IFEANYI-NWANZE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Meritus Palliative Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205176393, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 2 + 7 + 1 + 2 + 3 + 1 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205176393.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
11116 MEDICAL CAMPUS RD, SUITE 2989
HAGERSTOWN, MD 21742
Social Worker (Clinical)
11116 MEDICAL CAMPUS RD, SUITE 2989
HAGERSTOWN, MD 21742
Social Worker (Clinical)
11116 MEDICAL CAMPUS RD, SUITE 2989
HAGERSTOWN, MD 21742
Counselor (Professional)
11116 MEDICAL CAMPUS RD, SUITE 2989
HAGERSTOWN, MD 21742
Nurse Anesthetist, Certified Registered
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Social Worker (Clinical)
11116 MEDICAL CAMPUS RD, SUITE 2989
HAGERSTOWN, MD 21742
Nurse Anesthetist, Certified Registered
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Nurse Practitioner (Acute Care)
11116 MEDICAL CAMPUS RD, SUITE 2840
HAGERSTOWN, MD 21742
Pharmacist
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Anesthesiology
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Nurse Anesthetist, Certified Registered
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Anesthesiology
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Physician Assistant (Medical)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Anesthesiology
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Social Worker (Clinical)
11116 MEDICAL CAMPUS RD, 2989
HAGERSTOWN, MD 21742
Nurse Practitioner
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Pulmonary Function Technologist
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Emergency Medicine
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Emergency Medicine
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205176393, enumerated as an "organization" on February 26, 2013.

The provider is located at 11116 MEDICAL CAMPUS RD ROOM 2999 HAGERSTOWN, MD 21742 and the phone number is (301) 766-7603.

Nurse Practitioner with taxonomy code 363L00000X.