Individual provider Active NPI

Jessica Abrams, CRNP

  • Gerontology Nurse Practitioner
  • North Potomac, MD
National Provider Identifier
1003277245
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R200109 Issued in MD
Practice address
26 Owens Glen CT
North Potomac, MD 20878-2300
Phone
(703) 731-0340
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R200109 MD
Gerontology Nurse Practitioner 363LG0600X R200109 MD Primary

Addresses

Primary practice location

26 Owens Glen CT
North Potomac, MD 20878-2300

Mailing address

26 Owens Glen CT
North Potomac, MD 20878-2300
Phone (703) 731-0340

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
I20160621000078 MD Practitioner - Nurse Practitioner 0547551616 Reassigns benefits to 1 organization
I20181116001293 DC Practitioner - Nurse Practitioner 0547551616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ikon Health, LLCGroup PAC ID 2365846953, 11 clinicians

Practice addresses (Care Compare)

26 Owens Glen CT
North Potomac, MD 20878-2300
Phone (301) 664-4209

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Gaithersburg, MD, CCN 217158
  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Jewish Social Service Agency Hospice Hospice, Rockville, MD, CCN 211508
  • Suburban Hospital Hospital, Bethesda, MD, CCN 210022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R200109MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ikon Health, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 4

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 7

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1003277245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 OWENS GLEN CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782300",
            "telephone_number": "703-731-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 OWENS GLEN CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782300",
            "telephone_number": "703-731-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "JESSICA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R200109",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R200109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

Verify at the official NPI Registry.