Moonglade Integrative LLC
NPI 1568245595 · Primary Care Clinic/Center · Grantsville, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Moonglade Integrative LLC is a Primary Care Clinic/Center organization in Grantsville, MD (NPI 1568245595).
Provider details
- NPI number
- 1568245595
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Resh, Employee(240) 321-2770
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
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
2 yrs 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
Registry dates
- Enumerated
- 2023-08-15
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Frequently asked questions
- What is Moonglade Integrative LLC's NPI number?
- Moonglade Integrative LLC's National Provider Identifier (NPI) is 1568245595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moonglade Integrative LLC?
- Moonglade Integrative LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Moonglade Integrative LLC located?
- Moonglade Integrative LLC's practice location on file with NPPES is 3233b Chestnut Ridge Rd, Grantsville, MD 21536-1370.
- What is Moonglade Integrative LLC's phone number?
- The practice phone number listed in the NPPES registry for Moonglade Integrative LLC is (240) 321-2770.
- Does Moonglade Integrative LLC accept Medicare?
- Moonglade Integrative 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 Moonglade Integrative LLC?
- The authorized official listed on Moonglade Integrative LLC's NPPES record is Jennifer Resh, Employee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moonglade Integrative LLC's NPI active?
- Yes — Moonglade Integrative LLC's NPI (1568245595) is active in the NPPES registry as of the last update on 2024-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.