NEW ERA WELLNESS, LLC
NPI 1528419561
Nurse Practitioner - Family in Baltimore, MD

Active since June 30, 2016
5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229(410) 775-6394 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017, Jun 25, 2017 and 1 more (4 updates tracked since 2016).

About New Era Wellness, Llc NPPES

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

NEW ERA WELLNESS, LLC (NPI 1528419561), doing business as New Era Wellness, is a healthcare organization registered as a family in Baltimore, Maryland and active in the NPI registry since June 2016. The organization lists Myrtis Marvell-mccain Agen-davis, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1528419561
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNEW ERA WELLNESS, LLC
Location Address5411 OLD FREDERICK RD STE 2Baltimore, MD 21229-2126
Mailing Address5411 Old Frederick Rd Ste 2Baltimore, MD 21229-2126 · (410) 775-6394 · Fax (410) 881-2477
Organization SubpartNo
Authorized OfficialMyrtis Marvell-mccain Agen-davisFamily Nurse Practitioner · (410) 775-6394
Enumeration DateJune 30, 2016
Last NPPES UpdateJuly 24, 20254 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1528419561 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 · R157786
5411 OLD FREDERICK RD STE 2, Baltimore, MD 21229

Other Names 1

Doing Business AsNew Era Wellness

Other Identifiers 1

Medicaid056072300MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Era Wellness, Llc 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 New Era Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1386899961
5411 OLD FREDERICK RD STE 2
Baltimore, MD 21229
(410) 775-6394
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 New Era Wellness, LLC's NPI number?

The NPI number for New Era Wellness, LLC is 1528419561. It was assigned to this organization in the NPPES registry on June 30, 2016. The provider is doing business as New Era Wellness.

Where is New Era Wellness, LLC located?

New Era Wellness, LLC is located at 5411 Old Frederick Rd Ste 2, Baltimore, MD 21229. The listed phone number is (410) 775-6394.

What is New Era Wellness, LLC's specialty?

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

Is New Era Wellness, LLC enrolled in Medicare?

Yes. New Era Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Era Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to New Era Wellness, LLC. 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.

When was this NPI record last updated?

The NPPES record for New Era Wellness, LLC was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.