Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin Moy, DNP, CRNP

Individual provider Gerontology Nurse Practitioner · NPI 1295563161

Dr. Justin Moy, DNP, CRNP is a Nurse Practitioner in Columbia, Maryland. Qualified in 2024, 2 years ago. Practices with Maryland Primary Care Physicians, LLC, a 101-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2024
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

5900 Waterloo Rd Ste 200
Columbia, MD 21045-2641
Phone: (410) 740-2900
Fax: (410) 740-2955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence R239415 (MD)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence R239415 (MD)

Record details

NPI number1295563161
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , CRNP
Sole proprietorNo
NPI enumeratedJuly 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Maryland Primary Care Physicians, Llc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Columbia