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MS. NANETTE GABRIELLE MAMEDOV CRNP-FAMILY
NPI 1306311717
Clinical Nurse Specialist - Family Health in Towson, MD

Active since October 11, 2018PECOS Enrolled
76.58/100
CMS Quality Rating
7601 OSLER DR, TOWSON, MD 21204(410) 337-1000 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2022, Oct 11, 2018 (2 updates tracked since 2018).

About Ms. Nanette Gabrielle Mamedov Crnp-family NPPES

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

MS. NANETTE GABRIELLE MAMEDOV CRNP-FAMILY (NPI 1306311717) is an individual family health provider in Towson, Maryland, licensed in Maryland (R184664) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1306311717
Entity TypeIndividualFemale
Primary Taxonomy364SF0001X
Provider Legal NameMS. NANETTE GABRIELLE MAMEDOVCredential: CRNP-FAMILY
Location Address7601 OSLER DRTowson, MD 21204-7700
Mailing Address7601 Osler DrTowson, MD 21204-7700 · (410) 337-1000
Phone(410) 337-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 11, 2018
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1306311717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
License✔ Licensed in MD · R184664
7601 OSLER DR, Towson, MD 21204
Open in Google Maps ↗

Other Names 1

Other Name (5)Ms. Nanette Gabrielle Gilkis Crnp-family

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nanette Gabrielle Mamedov Crnp-family is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870832066
PECOS Enrollment IDI20190306001056
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 3

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 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.
95 services76 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
79 services79 patients
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.
50 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
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.

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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.56
Promoting Interoperability100
Improvement Activities40
Cost48.54

Other Providers at the Same Location NPPES 20

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

MARY ELIZABETH SEXTON M.D.
Internal Medicine (Infectious Disease)
7601 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 337-1207
LAUREN BELL PA
Physician Assistant
7601 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 337-1000
UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC
General Practice
7601 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 337-4480
NICOLE LEE HORMES CRNP
Nurse Practitioner (Gerontology)
7601 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 718-9929
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Pediatrics
7601 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 328-8670
MS. RAFAELINA MARTINEZ P.A.
Physician Assistant
7601 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 337-1000
DR. SARAH ELIZABETH DYER CRNP
Nurse Practitioner (Family)
7601 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 427-5551
MEAGAN DAVIS CRNA
Nurse Anesthetist, Certified Registered
7601 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 337-1150

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 Nanette Mamedov's NPI number?

The NPI number for Nanette Mamedov is 1306311717. It was assigned to this individual provider in the NPPES registry on October 11, 2018. The provider is also known as Ms. Nanette Gabrielle Gilkis Crnp-Family.

Where is Nanette Mamedov located?

Nanette Mamedov practices at 7601 Osler Dr, Towson, MD 21204. The listed phone number is (410) 337-1000.

What is Nanette Mamedov's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Is Nanette Mamedov enrolled in Medicare?

Yes. Nanette Mamedov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nanette Mamedov was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.