NIA GAIL VALENTINE NP
NPI 1518196153
Nurse Practitioner - Family in Baltimore, MD

Active since July 03, 2009PECOS EnrolledAccepts Medicare Assignment
80.18/100
CMS Quality Rating
200 E PRATT ST STE 4100, BALTIMORE, MD 21202(443) 501-9201 Get Directions Write a Review

NPPES record last updated: January 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nia Gail Valentine Np NPPES

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

NIA GAIL VALENTINE NP (NPI 1518196153) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R174317) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Owings Mills, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1518196153
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNIA GAIL VALENTINECredential: NP
Location Address200 E PRATT ST STE 4100Baltimore, MD 21202-6155
Mailing Address1 Olympic Pl Ste 504Towson, MD 21204-4104 · (443) 501-9201
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 3, 2009
Last NPPES UpdateJanuary 21, 2024
NPPES CertifiedJanuary 21, 2024
✔ NPI 1518196153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R174317
200 E PRATT ST STE 4100, Baltimore, MD 21202

Secondary Practice Location 1

Location 17920 McDonogh Rd Ste 201Owings Mills, MD 21117-5323 · Phone (844) 560-2468

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

Nia Gail Valentine 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.

PECOS PAC ID8628116506
PECOS Enrollment IDI20091113000207, I20130410000447
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

3

Medicare enrollment records show Nia Valentine reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
8031 RITCHIE HIGHWAY, SUITE 100
Pasadena, MD 21044
  • Reassigned Medicare billing, Maryland enrollment
  • 13 clinicians in this Medicare group
Urgent Care
11804 REISTERSTOWN RD
Reisterstown, MD 21136
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 105 clinicians in this Medicare group
Interventional Pain Medicine
810 BESTGATE RD STE 220
Annapolis, MD 21401
  • Reassigned Medicare billing, Maryland enrollment
  • 69 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.

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 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.
246 services165 patients
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.
220 services113 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21202 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.

80.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.51
Promoting Interoperability99
Improvement Activities40
Cost39.11

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 Nia Valentine's NPI number?

The NPI number for Nia Valentine is 1518196153. It was assigned to this individual provider in the NPPES registry on July 3, 2009.

Where is Nia Valentine located?

Nia Valentine practices at 200 E Pratt St Ste 4100, Baltimore, MD 21202. The listed phone number is (443) 501-9201.

What is Nia Valentine's specialty?

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

Is Nia Valentine enrolled in Medicare?

Yes. Nia Valentine 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 Nia Valentine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nia Valentine reassigns Medicare benefits to 3 organizations: Global Pain Management (Pasadena, MD), Crh MD Management LLC (Reisterstown, MD) and Advanced Pain Management Specialists, LLC (Annapolis, MD). 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 Nia Valentine'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 Nia Valentine was last updated on January 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.