Active NPI
Jennifer Lynn Manjo, N.P.
- Acute Care Nurse Practitioner
- Germantown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R180496
- Practice address
- 20410 Observation Dr Ste 100
Germantown, MD 20876-6419 - Phone
- (301) 762-0277
- Fax
- (301) 330-9108
- NPI assigned
- Feb 26, 2014
- Last updated
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R180496 | MD | Primary |
Addresses
Primary practice location
20410 Observation Dr Ste 100
Germantown, MD 20876-6419
Mailing address
20410 Observation Dr Ste 100
Germantown, MD 20876-6419
Phone (301) 762-0277
Other names 1
- Jennifer Lynn Hillman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 20876-6419
Phone (301) 762-0277
Hospital & facility affiliations
- Frederick Health Hospital
- Adventist Healthcare Shady Grove Medical Center
- Holy Cross Germantown Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.43 of 100
- Quality
- 94.46
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 77.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Surgical Group, PA | Current | Accepting new patients | |
| Horizon Surgical Group, PA | Current | 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Horizon Vascular Specialists
- Vascular Surgery Physician
- Germantown, MD
- NPI 1366449365
DC
-
dba Horizon Vascular Specialists ASC
- Ambulatory Surgical Clinic/Center
- Germantown, MD
- NPI 1255032421
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist HealthCare Shady Grove Medical Center
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Holy Cross Germantown Hospital
- General Acute Care Hospital
- Germantown, MD
- NPI 1245655638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1033534102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20410 OBSERVATION DR STE 100",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208766419",
"telephone_number": "301-762-0277",
"fax_number": "301-330-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20410 OBSERVATION DR STE 100",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208766419",
"telephone_number": "301-762-0277",
"fax_number": "301-330-9108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANJO",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-26",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R180496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HILLMAN",
"middle_name": "LYNN",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.