Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Casey Realzola, AG-ACNP

Individual provider Nurse Practitioner · NPI 1568171767

Casey Realzola, AG-ACNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2022, 4 years ago. Practices with University of Maryland Physicians PA, a 390-clinician group and accepts Medicare assignment. Licensed in Maryland and New Mexico.

Years since qualifying
4
Licensed in
MD, NM
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (205) 394-9268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AC004992 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence 55663 (NM)

Record details

NPI number1568171767
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedNovember 16, 2022
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Of Maryland Physicians Pa — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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