GRECEANNII HEALTHCARE P C
NPI 1356069850
Nurse Practitioner - Gerontology in Columbia, MD
About Greceannii Healthcare P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRECEANNII HEALTHCARE P C (NPI 1356069850) is a healthcare organization registered as a gerontology in Columbia, Maryland and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through January 31, 2027, maintains a secondary practice location in Laurel, and lists Max Greceannii, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Greceannii Healthcare P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Greceannii Healthcare P C, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2276010
Greceannii Healthcare PC · Columbia, MDFrequently 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 Greceannii Healthcare P C's NPI number?
The NPI number for Greceannii Healthcare P C is 1356069850. It was assigned to this organization in the NPPES registry on August 19, 2022.
Where is Greceannii Healthcare P C located?
Greceannii Healthcare P C is located at 7130 Minstrel Way Ste 120, Columbia, MD 21045. The listed phone number is (443) 241-7622.
What is Greceannii Healthcare P C's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Greceannii Healthcare P C enrolled in Medicare?
Yes. Greceannii Healthcare P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Greceannii Healthcare P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Greceannii Healthcare P C. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Greceannii Healthcare P C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2276010) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Greceannii Healthcare P C was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Greceannii Healthcare P C · NPI 1356069850
Gerontology organization in Columbia, Maryland. Organization record, active in the CMS NPPES registry since August 19, 2022.
## Identity
- **NPI:** 1356069850 (Entity type: Organization)
- **Enumerated:** August 19, 2022
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Organization subpart:** No
- **Authorized official:** Max Greceannii, CEO
## Practice location
- **Address:** 7130 MINSTREL WAY STE 120, Columbia, MD 21045-5329
- **Phone:** (443) 241-7622
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356069850) · Data from the CMS NPPES public registry.