Individual provider Active NPI

Jennifer Lyn Foster, CRNP

  • Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1023511706
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R194536 Issued in MD
Practice address
13620 Crayton Blvd Ste B
Hagerstown, MD 21742-2335
Phone
(240) 313-9890
NPI assigned
Mar 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP018676 PA
Nurse Practitioner 363L00000X R194536 MD Primary

Addresses

Primary practice location

13620 Crayton Blvd Ste B
Hagerstown, MD 21742-2335

Mailing address

11110 Medical Campus Rd Ste 229
Hagerstown, MD 21742-6727
Phone (301) 790-9044

Other practice location 1

12 St Paul Dr Ste 101
Chambersburg, PA 17201-1033
Phone (171) 721-7676

Other practice location 2

12 St Paul Dr Ste 101
Chambersburg, PA 17201-1033
Phone (171) 721-7676

Other practice location 3

1183 Luther Dr
Hagerstown, MD 21740
Phone (240) 420-4133

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
I20190529001997 MD Practitioner - Nurse Practitioner 4284997800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Suite 243
Hagerstown, MD 21742-6756
Phone (301) 665-4640

Hospital & facility affiliations

  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R194536MDMDNurse Practitioner
SP018676PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc CurrentSince Jan 21, 2021 Accepting new patients
Meritus Medical Center Inc CurrentSince Jan 21, 2021 Accepting new patients
Meritus Medical Center Inc Nurse Practitioner Current Accepting new patients
Medical Practices of Antietam LLC CurrentSince May 7, 2019 Accepting new patients
Medical Practices of Antietam, LLC CurrentSince May 7, 2019 Accepting new patients

Locations

8507 Mapleville Rd
Boonsboro, MD 21713
Phone (301) 671-5033

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

11110 Medical Campus Rd
Ste 229
Hagerstown, MD 21742
Phone (301) 665-4500

1183 Luther Dr
Hagerstown, MD 21740
Phone (240) 420-4133

13620 Crayton Blvd
Ste B
Hagerstown, MD 21742
Phone (240) 313-9890

11110 Medical Campus Rd
Ste 243
Hagerstown, MD 21742
Phone (301) 665-4600

333 Mill St
Hagerstown, MD 21740
Phone (301) 655-8700

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

16505 Virginia Ave
Williamsport, MD 21795
Phone (301) 582-1628

Organizations & group practices 5

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": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1023511706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 229",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426727",
            "telephone_number": "301-790-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 CRAYTON BLVD STE B",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422335",
            "telephone_number": "240-313-9890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 St Paul Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011033",
            "country_code": "US",
            "telephone_number": "171-721-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011033",
            "country_code": "US",
            "telephone_number": "171-721-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1183 Luther Dr",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "21740",
            "country_code": "US",
            "telephone_number": "240-420-4133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP018676",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R194536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.