CAMILLE AVA LOANZON CANLAS (CRNP) – Family Nurse Practitioner, NPI 1659658052

CAMILLE AVA LOANZON CANLAS (CRNP) is a healthcare provider. based in Hagerstown, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R188878 (MD). The NPI Number for CAMILLE AVA LOANZON CANLAS (CRNP) is 1659658052

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
CAMILLE AVA LOANZON CANLAS (CRNP)
NPI
1659658052
Phone
(301) 790-1482
Address
1125 DIAMOND DR STE B
Enumeration Date
14 November 2011
Last Update Date
1 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4433839300
Graduation Year
2011 (15 years ago)
PAC ID
2163679861
Group Practice PAC ID
1254662695
Professional Enrollment ID
I20190715000850
Address ID
PA190073116BR905XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

6,815 NURSE PRACTITIONER in MD

Provider Addresses for CAMILLE AVA LOANZON CANLAS (CRNP)

  • 1125 DIAMOND DR STE B

    HAGERSTOWN, MD 217405857

    Phone: (301) 790-1482

    Fax: (301) 790-1377

    Type: Mailing

  • 1125 DIAMOND DR

    HAGERSTOWN, MD 217405857

    Phone: (301) 790-1482

    Fax: (301) 790-1377

    Type: Location

  • 909 RIDGEBROOK RD STE 220

    SPARKS, MD 211529476

    Phone: (443) 383-9300

    Fax: (301) 790-1377

    Type: Mailing

  • 10175 LITTLE PATUXENT PKWY

    COLUMBIA, MD 210442655

    Phone: (800) 561-0861

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $331.

Total Amount is formed as General ($331) + Research ($0) + Ownership ($0) = $331.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: KCI USA, Inc. ($288).

Total Amount

$331

General + Research + Ownership

Payments

4

Total payment records

General Amount

$331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120831000600INurse PractitionerMDTBD
I20130708000439INurse PractitionerDCTBD
I20190715000850INurse PractitionerPATBD
I20210901001619INurse PractitionerWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes356203$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes352312$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes9970$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes3131$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 21740)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254662695View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerVA
Nurse PractitionerNJ
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerNJ
Nurse PractitionerDE
Nurse PractitionerMD
Nurse PractitionerFL
Nurse PractitionerPA

Reviews

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Frequently asked questions

What is the standard ID for CAMILLE AVA LOANZON CANLAS (CRNP) in the U.S.?
In the U.S., CAMILLE AVA LOANZON CANLAS (CRNP) is identified by NPI 1659658052.
Should I treat CAMILLE AVA LOANZON CANLAS (CRNP) as an active provider?
Patients and plans typically see CAMILLE AVA LOANZON CANLAS (CRNP) as active in the national extract.
What services align with CAMILLE AVA LOANZON CANLAS (CRNP)'s listing?
CAMILLE AVA LOANZON CANLAS (CRNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to CAMILLE AVA LOANZON CANLAS (CRNP)?
CAMILLE AVA LOANZON CANLAS (CRNP) shows a connection to Hagerstown, Maryland in registry-derived data.
Why is information missing for CAMILLE AVA LOANZON CANLAS (CRNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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