Individual provider Active NPI

Jovonne Chandler Osborne, CRNP

  • Family Nurse Practitioner
  • Cambridge, MD
National Provider Identifier
1013252659
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R174086 Issued in MD
Practice address
503 Muir St Ste a
Cambridge, MD 21613-1848
Phone
(410) 228-4045
Fax
(833) 908-2286
NPI assigned
Dec 9, 2012
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R174086 MD Primary

Addresses

Primary practice location

503 Muir St Ste a
Cambridge, MD 21613-1848

Mailing address

503 Muir St Ste a
Cambridge, MD 21613-1848
Phone (410) 228-4045

Other practice location 1

1016 S Salisbury Blvd
CVS Minute Clinic
Salisbury, MD 21801-6361
Phone (410) 572-5891 ext. 8221

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131231001621 MD Practitioner - Nurse Practitioner 1355579061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choptank Community Health System IncGroup PAC ID 0648189274, shared by 12 NPIs, 40 clinicians

Practice addresses (Care Compare)

503 Muir St
Cambridge, MD 21613-1848
Phone (410) 228-4045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R174086MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Apr 6, 2020 Accepting new patients
Choptank Community Health System Inc CurrentSince Apr 6, 2020 Accepting new patients
Choptank Community Health System Inc Past Accepting new patients
Atlantic General Hospital Corporation Past Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20853/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jovonne.osborne.1@20853.direct.athenahealth.com
  • Direct secure messaging: jovonneosborne@agh.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1355011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1013252659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MUIR ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-4045",
            "fax_number": "833-908-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MUIR ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-4045",
            "fax_number": "833-908-2286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 S Salisbury Blvd",
            "address_2": "CVS Minute Clinic",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218016361",
            "country_code": "US",
            "telephone_number": "410-572-5891 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "JOVONNE",
        "middle_name": "CHANDLER",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-09",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R174086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.