Individual provider Active NPI

Jacqueline L. Hoover, P.A.-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1003145897
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004070 Issued in MD
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

Updated by the provider on Dec 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100129000174 MD Practitioner - Physician Assistant 7315089307 Reassigns benefits to 1 organization
I20200923002900 DC Practitioner - Physician Assistant 7315089307 Reassigns benefits to 1 organization

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
Horizon Surgical Group PAGroup PAC ID 3173417540, 8 clinicians

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 Hospital, Frederick, MD, CCN 210005

Merit-based Incentive Payment System (MIPS)

Final score
95.43 of 100Reported as group
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

LicenseStateTypeSpecialty
C0004070MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Surgical Group, PA CurrentSince Sep 8, 2020 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.