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MRS. TAMARA BOYD POTTILLO
NPI 1922717495
Nurse Practitioner - Psychiatric/Mental Health in Lutherville Timonium, MD

Active since November 23, 2022PECOS Enrolled
1301 YORK RD STE 800, LUTHERVILLE TIMONIUM, MD 21093(410) 376-8728(410) 862-3774 Get Directions Write a Review

NPPES record last updated: December 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2025, Nov 23, 2022 (2 updates tracked since 2022).

About Mrs. Tamara Boyd Pottillo NPPES

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

MRS. TAMARA BOYD POTTILLO (NPI 1922717495) is an individual psychiatric/mental health provider in Lutherville Timonium, Maryland, licensed in Maryland (R197825) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922717495
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. TAMARA BOYD POTTILLO
Location Address1301 YORK RD STE 800Lutherville Timonium, MD 21093-6011
Mailing Address1301 York Rd Ste 800Lutherville Timonium, MD 21093-6011 · (410) 376-8728 · Fax (410) 862-3774
Phone(410) 376-8728
Fax(410) 862-3774
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 23, 2022
Last NPPES UpdateDecember 13, 20252 updates tracked since enumeration
NPPES CertifiedDecember 13, 2025
✔ NPI 1922717495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MD · R197825✔ Licensed in FL · TPAN1705✔ Licensed in DE · L8-0010590
1301 YORK RD STE 800, Lutherville Timonium, MD 21093
Open in Google Maps ↗

Secondary Practice Locations 3

Location 17901 4th St N Ste 300St Petersburg, FL 33702-4399 · Phone (410) 376-8728 · Fax (410) 862-3774
Location 28 The Grn Ste BDover, DE 19901-3618 · Phone (410) 376-8728 · Fax (410) 862-3774
Location 322 W Pennsylvania Ave Ste 401Towson, MD 21204-5003 · Phone (410) 376-8728 · Fax (410) 862-3774

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tamara Boyd Pottillo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779923941
PECOS Enrollment IDI20240802002161
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 Reassignment

Medicare enrollment records show Tamara Pottillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Release And Renew Mental Wellness Clinic
0.1 mi
Psychiatric/Mental Health
1301 YORK RD STE 800
Lutherville Timonium, MD 21093
  • Reassigned Medicare billing, Maryland enrollment
NPI 1972216869 (410) 376-8728

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 21093 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.

LIFE BALANCE PSYCHIATRIC SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
1301 YORK RD STE 800
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 800-4909
DISTINCTIVE DIAGNOSTICS LABORATORY
Clinical Medical Laboratory
1301 YORK RD STE 800
LUTHERVILLE, MD 21093
Baltimore County (800) 410-9508
HEALTH FIRST PRIMARY CARE, LLC
Nurse Practitioner (Adult Health)
1301 YORK RD STE 800
TIMONIUM, MD 21093
Baltimore County (443) 559-1551
BEYOND NURSING CARE, LLC
In Home Supportive Care
1301 YORK RD STE 800
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (980) 699-5320
BEYOND NURSING CARE, LLC
Home Health
1301 YORK RD STE 800
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (980) 699-5320
A BETTER LIVING WELLNESS CENTER
Substance Abuse Rehabilitation Facility
1301 YORK RD STE 800, LT9
LUTHERVILLE, MD 21093
Baltimore County (410) 816-4401
PHLEBOTOMIST ON CALL THEBLOODLINE, LLC
Technician, Pathology (Phlebotomy)
1301 YORK RD STE 800
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 940-2221
MRS. ROBYN BLAKE-MANNING PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1301 YORK RD STE 800
LUTHERVILLE, MD 21093
Baltimore County (443) 850-2603

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 Tamara Pottillo's NPI number?

The NPI number for Tamara Pottillo is 1922717495. It was assigned to this individual provider in the NPPES registry on November 23, 2022.

Where is Tamara Pottillo located?

Tamara Pottillo practices at 1301 York Rd Ste 800, Lutherville Timonium, MD 21093. The listed phone number is (410) 376-8728.

What is Tamara Pottillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tamara Pottillo enrolled in Medicare?

Yes. Tamara Pottillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tamara Pottillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Pottillo reassigns Medicare benefits to Release And Renew Mental Wellness Clinic (Lutherville Timonium, 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 Tamara Pottillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamara Pottillo accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Tamara Pottillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tamara Pottillo was last updated on December 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.