JUDITH GREENGOLD CRNP
NPI 1417327487
Nurse Practitioner - Family in Fulton, MD
About Judith Greengold Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDITH GREENGOLD CRNP (NPI 1417327487) is an individual family provider in Fulton, Maryland, licensed in Maryland (R207608) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Judith Greengold Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Judith Greengold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fulton, MD 20759
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1255359972 (District of Columbia)
- 952 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FULTON, MD 20759
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 Judith Greengold's NPI number?
The NPI number for Judith Greengold is 1417327487. It was assigned to this individual provider in the NPPES registry on October 2, 2015.
Where is Judith Greengold located?
Judith Greengold practices at 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759. The listed phone number is (240) 459-1800.
What is Judith Greengold's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Judith Greengold enrolled in Medicare?
Yes. Judith Greengold is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Judith Greengold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judith Greengold reassigns Medicare benefits to Johns Hopkins Community Physicians (Fulton, 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 Judith Greengold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Judith Greengold was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Judith Greengold, CRNP · NPI 1417327487
Family physician in Fulton, Maryland. Individual provider, active in the CMS NPPES registry since October 2, 2015.
## Identity
- **NPI:** 1417327487 (Entity type: Individual)
- **Enumerated:** October 2, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R207608 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 8115 MAPLE LAWN BLVD STE 140, Fulton, MD 20759
- **Phone:** (240) 459-1800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Johns Hopkins Community Physicians (NPI 1689485963, Fulton, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1417327487) · Data from the CMS NPPES public registry.