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STACY GWATURA CRNP
NPI 1952764854
Nurse Practitioner in Baltimore, MD

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
76.58/100
CMS Quality Rating
2401 WEST BELVEDERE AVENUE, SINAI HOSPITAL, BALTIMORE, MD 21215(410) 601-9000 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Gwatura Crnp NPPES

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

STACY GWATURA CRNP (NPI 1952764854) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R203908) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1952764854
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACY GWATURACredential: CRNP
Location Address2401 WEST BELVEDERE AVENUE, SINAI HOSPITALBaltimore, MD 21215
Mailing Address2401 West Belvedere Avenue, Sinai HospitalBaltimore, MD 21215 · (410) 601-9000
Phone(410) 601-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 30, 2016
✔ NPI 1952764854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R203908
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2401 WEST BELVEDERE AVENUE, Baltimore, MD 21215
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN053NMD

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

Stacy Gwatura 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 ID7214226315
PECOS Enrollment IDI20160512001569
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.

Areas of Expertise CMS Part B claims 6

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
136 services128 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
71 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services57 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210002
Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County
Emergency services Birthing friendly

University Of MD Medical Center Midtown Campus

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210038
Location827 Linden AvenueBaltimore, MD 21201 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.56
Promoting Interoperability100
Improvement Activities40
Cost48.54

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK RICHARD KATLIC M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2401 WEST BELVEDERE AVENUE, SINAI HOSPITAL OF BALTIMORE
BALTIMORE, MD 21215
Baltimore City (410) 601-5547
SINAI HOSPITAL OF BALTIMORE INC
Internal Medicine
2401 WEST BELVEDERE AVENUE
BALTIMORE, MD 21215
Baltimore City (410) 601-6840
USMAN GHANI M.B.B.S
Student in an Organized Health Care Education/Training Program
2401 WEST BELVEDERE AVENUE
BALTIMORE, MD 21215
Baltimore City (410) 601-2803
MS. ZARAH ABDUL HALEEM M.D.
Student in an Organized Health Care Education/Training Program
2401 WEST BELVEDERE AVENUE
BALTIMORE, MD 21215
Baltimore City (410) 601-7639
JOHN D HOKE PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2401 WEST BELVEDERE AVENUE, PHARMACY DEPARTMENT
BALTIMORE, MD 21215
Baltimore City (410) 601-7303

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 Stacy Gwatura's NPI number?

The NPI number for Stacy Gwatura is 1952764854. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Stacy Gwatura located?

Stacy Gwatura practices at 2401 West Belvedere Avenue Sinai Hospital, Baltimore, MD 21215. The listed phone number is (410) 601-9000.

What is Stacy Gwatura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacy Gwatura enrolled in Medicare?

Yes. Stacy Gwatura 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.

Is Stacy Gwatura affiliated with any hospitals?

According to CMS data, Stacy Gwatura is affiliated with University Of Maryland Medical Center and University Of MD Medical Center Midtown Campus.

When was this NPI record last updated?

The NPPES record for Stacy Gwatura was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.