Active NPI
Jacqueline L. Hoover, P.A.-C
- Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0004070
- Practice address
- 5601 Loch Raven Blvd
Baltimore
Baltimore, MD 21239-2905 - Phone
- (443) 444-4730
- NPI assigned
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0004070 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
Baltimore
Baltimore, MD 21239-2905
Mailing address
5601 Loch Raven Blvd
Baltimore
Baltimore, MD 21239-2905
Phone (443) 444-4730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1003 W 7TH St
Suite a
Frederick, MD 21701-4153
Phone (240) 529-1414
20410 Observation Dr
Suite 100
Germantown, MD 20876-4000
9715 Medical Ctr Dr
Suite 105
Rockville, MD 20850-6300
Phone (301) 762-0277
Hospital & facility affiliations
- Frederick Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.43 of 100
- Quality
- 94.46
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 77.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0004070 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Surgical Group, PA | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1003 W 7th St
Ste A
Frederick, MD 21701
Phone (240) 529-1414
20410 Observation Dr
Ste 100
Germantown, MD 20876
Phone (301) 330-1000
18111 Prince Philip Dr
Ste 226
Olney, MD 20832
Phone (301) 762-0277
9715 Medical Center Dr
Ste 105
Rockville, MD 20850
Phone (301) 762-0277
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BCFIAA/Endpoint/BCFIAA
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1003145897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"address_2": "BALTIMORE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "443-444-4730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"address_2": "BALTIMORE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "443-444-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "JACQUELINE",
"middle_name": "L.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0004070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.