Individual provider Active NPI

Jennifer Lynn Manjo, N.P.

  • Acute Care Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1033534102
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R180496 Issued in MD
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20160413000358 DC Practitioner - Nurse Practitioner 5890093561 Reassigns benefits to 1 organization
I20200814000015 MD Practitioner - Nurse Practitioner 5890093561 Reassigns benefits to 1 organization

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
Horizon Surgical Group PAGroup PAC ID 3173417540, 8 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
95.43 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Horizon Surgical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Horizon Surgical Group, PA CurrentSince Mar 1, 2020 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.