MONICA M IMMORDINO (NP) – Gerontology Nurse Practitioner, NPI 1831263243

MONICA M IMMORDINO (NP) is a healthcare provider. based in Catonsville, Maryland. specializing in Gerontology Nurse Practitioner. They hold the professional credentials NP. They hold a License No. R114730 (MD). The NPI Number for MONICA M IMMORDINO (NP) is 1831263243

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MONICA M IMMORDINO (NP)
NPI
1831263243
Phone
(410) 402-1200
Address
1525 N Rolling Road
Enumeration Date
17 November 2006
Last Update Date
2 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042652050
Graduation Year
2003 (23 years ago)
PAC ID
5890897680
Group Practice PAC ID
4284717422
Professional Enrollment ID
I20160615002009

Contacts

Secure Messaging
monica.immordino@conviva.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

Provider Addresses for MONICA M IMMORDINO (NP)

  • 1525 N Rolling Road

    Catonsville, MD 21228

    Phone: (410) 402-1200

    Fax: (410) 719-6918

    Type: Location

  • 20 BLANDING BLVD

    ORANGE PARK, FL 320732235

    Phone: (904) 773-8977

    Fax: (904) 773-8974

    Type: Location

  • Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States

    MIAMI, FL 331262051

    Phone: (305) 500-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160615002009INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21228)

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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: 4284717422View full group profile
NameSpecialtyState
Family Practice, Internal MedicineFL
Physician AssistantFL
-FL
-FL
Internal MedicineFL
Nurse PractitionerFL
-FL
Family PracticeFL
General PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is MONICA M IMMORDINO (NP)'s NPI number?
MONICA M IMMORDINO (NP)'s NPI is 1831263243 — the number used across U.S. healthcare to identify this provider.
Is MONICA M IMMORDINO (NP) shown as active in public data?
Registry records indicate MONICA M IMMORDINO (NP) maintains an active NPI.
What clinical focus is listed for MONICA M IMMORDINO (NP)?
At a glance, MONICA M IMMORDINO (NP) is tied to Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Maryland is MONICA M IMMORDINO (NP) registered?
Use Catonsville, Maryland as the headline location for MONICA M IMMORDINO (NP) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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