AUDREY NNOLI NP
NPI 1306514278
Family Medicine in Hagerstown, MD
About Audrey Nnoli Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDREY NNOLI NP (NPI 1306514278) is an individual family medicine provider in Hagerstown, Maryland, licensed in Maryland (R191325) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and maintains a secondary practice location in Kensington.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Audrey Nnoli Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Audrey Nnoli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hagerstown, MD 21742
- Reassigned Medicare billing, Maryland enrollment
- 242 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Meritus Medical Center
Acute Care Hospitals · Hagerstown, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21742 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAGERSTOWN, MD 21742
HAGERSTOWN, MD 21742
HAGERSTOWN, MD 21742
HAGERSTOWN, MD 21742
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 Audrey Nnoli's NPI number?
The NPI number for Audrey Nnoli is 1306514278. It was assigned to this individual provider in the NPPES registry on September 3, 2021.
Where is Audrey Nnoli located?
Audrey Nnoli practices at 11110 Medical Campus Rd Ste 225, Hagerstown, MD 21742. The listed phone number is (301) 665-4720.
What is Audrey Nnoli's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Audrey Nnoli enrolled in Medicare?
Yes. Audrey Nnoli 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.
Which organization bills Medicare for Audrey Nnoli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Nnoli reassigns Medicare benefits to Medical Practices Of Antietam LLC (Hagerstown, 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 Audrey Nnoli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Audrey Nnoli affiliated with any hospitals?
According to CMS data, Audrey Nnoli is affiliated with Meritus Medical Center.
When was this NPI record last updated?
The NPPES record for Audrey Nnoli was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Audrey Nnoli, NP · NPI 1306514278
Family Medicine physician in Hagerstown, Maryland. Individual provider, active in the CMS NPPES registry since September 3, 2021.
## Identity
- **NPI:** 1306514278 (Entity type: Individual)
- **Enumerated:** September 3, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** R191325 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11110 MEDICAL CAMPUS RD STE 225, Hagerstown, MD 21742-6727
- **Phone:** (301) 665-4720
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medical Practices Of Antietam LLC (NPI 1710854963, Hagerstown, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306514278) · Data from the CMS NPPES public registry.