VITALITY NP GROUP
NPI 1912574500
Nurse Practitioner in Baltimore, MD
About Vitality Np Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY NP GROUP (NPI 1912574500) is a healthcare organization registered as a nurse practitioner in Baltimore, Maryland and active in the NPI registry since June 2021. The organization lists Ettie Tress, Admin, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Vitality Np Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Vitality Np Group, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Vitality Np Group's NPI number?
The NPI number for Vitality Np Group is 1912574500. It was assigned to this organization in the NPPES registry on June 10, 2021.
Where is Vitality Np Group located?
Vitality Np Group is located at 6617 Pebble Brooke Rd, Baltimore, MD 21209. The listed phone number is (732) 486-7373.
What is Vitality Np Group's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Vitality Np Group enrolled in Medicare?
Yes. Vitality Np Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vitality Np Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vitality Np Group. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vitality Np Group was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Vitality Np Group · NPI 1912574500
Nurse Practitioner organization in Baltimore, Maryland. Organization record, active in the CMS NPPES registry since June 10, 2021.
## Identity
- **NPI:** 1912574500 (Entity type: Organization)
- **Enumerated:** June 10, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Ettie Tress, ADMIN
## Practice location
- **Address:** 6617 PEBBLE BROOKE RD, Baltimore, MD 21209-3793
- **Phone:** (732) 486-7373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912574500) · Data from the CMS NPPES public registry.