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THERESA ANNE MEDICUS CRNP
NPI 1720453533
Nurse Practitioner - Family in Baltimore, MD

Active since December 04, 2015PECOS EnrolledAccepts Medicare Assignment
1111 N CHARLES ST, BALTIMORE, MD 21201(410) 837-2050 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2025, Mar 22, 2016, Dec 4, 2015 (3 updates tracked since 2015).

About Theresa Anne Medicus Crnp NPPES

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

THERESA ANNE MEDICUS CRNP (NPI 1720453533) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R183562) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720453533
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA ANNE MEDICUSCredential: CRNP
Location Address1111 N CHARLES STBaltimore, MD 21201-5505
Mailing Address1111 N Charles StBaltimore, MD 21201-5505 · (410) 837-2050
Phone(410) 837-2050
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 4, 2015
Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1720453533 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 · R183562
1111 N CHARLES ST, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Anne Medicus Crnp 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 ID1557640984
PECOS Enrollment IDI20161108000423
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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.

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.

DAVID A CORNELL DNP, ARNP
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (515) 291-3283
STELLA IJIYODE FNP-C
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
DR. EMILY ANN SILVERMAN PH.D.
Psychologist (Clinical)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
MRS. AFRICA ALVAREZ-MCLEOD M.D.
Internal Medicine (Infectious Disease)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
DHANASHREE CHADA
Counselor (Professional)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
YOUNGHO KIM
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
CHRISTOPHER ANDREW REEVES
Social Worker (Clinical)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
MS. KEM JACQUELINE JOHNSON MS, MED, CNS, LDN
Nutritionist
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050

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 Medicus's NPI number?

The NPI number for Theresa Medicus is 1720453533. It was assigned to this individual provider in the NPPES registry on December 4, 2015.

Where is Theresa Medicus located?

Theresa Medicus practices at 1111 N Charles St, Baltimore, MD 21201. The listed phone number is (410) 837-2050.

What is Theresa Medicus's specialty?

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

Is Theresa Medicus enrolled in Medicare?

Yes. Theresa Medicus 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.

When was this NPI record last updated?

The NPPES record for Theresa Medicus was last updated on January 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.