Magnolia Health Care LLC
NPI 1154139640 · Family Nurse Practitioner · Gambrills, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Magnolia Health Care LLC is a Family Nurse Practitioner organization in Gambrills, MD (NPI 1154139640).
Provider details
- NPI number
- 1154139640
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shaquilla Vazquez Clark, Family Nurse Practitioner(301) 715-3010
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Magnolia Body Renew
- Doing business as
- Magnolia Mobile Care
Registry dates
- Enumerated
- 2024-12-30
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Frequently asked questions
- What is Magnolia Health Care LLC's NPI number?
- Magnolia Health Care LLC's National Provider Identifier (NPI) is 1154139640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Health Care LLC?
- Magnolia Health Care LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Magnolia Health Care LLC located?
- Magnolia Health Care LLC's practice location on file with NPPES is 2407 Baneberry Ln, Gambrills, MD 21054-1992.
- What is Magnolia Health Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Health Care LLC is (301) 715-3010.
- Does Magnolia Health Care LLC accept Medicare?
- Magnolia Health Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Magnolia Health Care LLC?
- The authorized official listed on Magnolia Health Care LLC's NPPES record is Shaquilla Vazquez Clark, Family Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Health Care LLC's NPI active?
- Yes — Magnolia Health Care LLC's NPI (1154139640) is active in the NPPES registry as of the last update on 2026-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.