THERESA ANN NAMETH
NPI 1316612245
Nurse Practitioner - Family in Glen Burnie, MD

Active since August 12, 2021PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
301 HOSPITAL DR, GLEN BURNIE, MD 21061(904) 372-3943(904) 212-1618 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2026, Aug 12, 2021 (2 updates tracked since 2021).

About Theresa Ann Nameth NPPES

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

THERESA ANN NAMETH (NPI 1316612245) is an individual family provider in Glen Burnie, Maryland, licensed in Wisconsin (11128-33) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316612245
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA ANN NAMETH
Location Address301 HOSPITAL DRGlen Burnie, MD 21061-5803
Mailing Address7751 Belfort Pkwy Ste 120Jacksonville, FL 32256-6921 · (904) 372-3943 · Fax (904) 212-1618
Fax(904) 212-1618
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 12, 2021
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1316612245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 11128-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License AC007413 (MD)
301 HOSPITAL DR, Glen Burnie, MD 21061

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

Theresa Ann Nameth 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.

PECOS PAC ID3577953900
PECOS Enrollment IDI20250909002826, I20250910002181
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 Reassignments

5

Medicare enrollment records show Theresa Nameth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
153 RITCHIE HWY
Severna Park, MD 21146
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1093130924 (District of Columbia)
  • 74 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
901 HARRY S TRUMAN DR N
Largo, MD 20774
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1245101617 (Maryland)
  • 13 clinicians in this Medicare group
Critical Care Medicine
3801 SPRING ST
Mount Pleasant, WI 53405
  • Reassigned Medicare billing, Wisconsin enrollment
  • 72 clinicians in this Medicare group
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 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.

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21061 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.

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

Pharmacist (Ambulatory Care)
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Nurse Anesthetist, Certified Registered
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Nurse Practitioner (Acute Care)
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Pediatrics
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Physician Assistant (Surgical)
301 HOSPITAL DR, SUITE 803
GLEN BURNIE, MD 21061
Obstetrics & Gynecology
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Student in an Organized Health Care Education/Training Program
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Surgery
301 HOSPITAL DR
GLEN BURNIE, MD 21061

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 Theresa Nameth's NPI number?

The NPI number for Theresa Nameth is 1316612245. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Theresa Nameth located?

Theresa Nameth practices at 301 Hospital Dr, Glen Burnie, MD 21061. The listed phone number is (904) 372-3943.

What is Theresa Nameth's specialty?

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

Is Theresa Nameth enrolled in Medicare?

Yes. Theresa Nameth 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 organizations bill Medicare for Theresa Nameth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Nameth reassigns Medicare benefits to 5 organizations: Mnr Industries, LLC (Severna Park, MD), Diabetes Management Partners LLC (Largo, MD), Midwest Critical Care Sc (Mount Pleasant, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). Each 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 Theresa Nameth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Theresa Nameth affiliated with any hospitals?

According to CMS data, Theresa Nameth is affiliated with University Of MD Baltimore Washington Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Nameth was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.