MARYAM NISA
NPI 1992284095
Nurse Practitioner - Family in Towson, MD
About Maryam Nisa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYAM NISA (NPI 1992284095) is an individual family provider in Towson, Maryland, licensed in Maryland (R196002) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maryam Nisa 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.
Medicare Billing Reassignment
Medicare enrollment records show Maryam Nisa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21204
- Reassigned Medicare billing, Maryland enrollment
- 444 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21204
BALTIMORE, MD 21204
BALTIMORE, MD 21204
BALTIMORE, MD 21204
BALTIMORE, MD 21204
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 Maryam Nisa's NPI number?
The NPI number for Maryam Nisa is 1992284095. It was assigned to this individual provider in the NPPES registry on August 9, 2018.
Where is Maryam Nisa located?
Maryam Nisa practices at 6701 N Charles St, Towson, MD 21204. The listed phone number is (443) 370-3084.
What is Maryam Nisa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maryam Nisa enrolled in Medicare?
Yes. Maryam Nisa 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.
Which organization bills Medicare for Maryam Nisa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Nisa reassigns Medicare benefits to Greater Baltimore Medical Center, Inc. (Baltimore, 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 Maryam Nisa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maryam Nisa was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Maryam Nisa · NPI 1992284095
Family physician in Towson, Maryland. Individual provider, active in the CMS NPPES registry since August 9, 2018.
## Identity
- **NPI:** 1992284095 (Entity type: Individual)
- **Enumerated:** August 9, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R196002 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6701 N CHARLES ST, Towson, MD 21204-6808
- **Phone:** (443) 370-3084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Greater Baltimore Medical Center, Inc. (NPI 1235167297, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 9, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1992284095) · Data from the CMS NPPES public registry.