Individual provider Active NPI

Jennifer Anne Hollywood, MD

  • Family Medicine Physician
  • Easton, MD
National Provider Identifier
1003868324
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D46820 Issued in MD
Practice address
538 Cynwood Drive
Ste 2
Easton, MD 21601
Phone
(410) 763-8999
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D46820 MD Primary

Addresses

Primary practice location

538 Cynwood Drive
Ste 2
Easton, MD 21601

Mailing address

538 Cynwood Dr Ste 2
Easton, MD 21601-3887
Phone (410) 690-8855

Other identifiers 1

IdentifierTypeStateIssuer
162311700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000277 MD Practitioner - Family Practice 6901094697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

538 Cynwood Dr
Suite 2
Easton, MD 21601-3887
Phone (410) 690-8855

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D46820MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Family Practice,L.L.C. Family Medicine CurrentSince Apr 1, 2000 Accepting new patients

Locations

538 Cynwood Dr
Ste 2
Easton, MD 21601
Phone (410) 763-8999

538 Cynwood Dr
#2
Easton, MD 21601
Phone (410) 690-8855

Interoperability endpoints

  • Direct secure messaging: jennifer.hollywood.1@13559.direct.athenahealth.com
  • Direct secure messaging: jhollywood452570@direct.umm.edu

Organizations & group practices 1

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 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1003868324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 CYNWOOD DR STE 2",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013887",
            "telephone_number": "410-690-8855",
            "fax_number": "833-606-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 CYNWOOD DRIVE",
            "address_2": "STE 2",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-763-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLYWOOD",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D46820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162311700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.