Active NPI
Jennie Marie Robinson, CRNP
- Nurse Practitioner
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R199079
- Practice address
- 7120 Minstrel Way Ste 100
Columbia, MD 21045-5274 - Phone
- (410) 290-6677
- NPI assigned
- Jul 9, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R199079 | MD | Primary |
Addresses
Primary practice location
7120 Minstrel Way Ste 100
Columbia, MD 21045-5274
Mailing address
6707 Sweet Clover CT
Eldersburg, MD 21784-6570
Phone (410) 615-6789
Other practice location 1
1419 Forest Dr Ste 105
Annapolis, MD 21403-1474
Phone (410) 290-6677
Other practice location 2
1212 York Rd Ste B201
Lutherville, MD 21093-6242
Phone (410) 290-6677
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R199079 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Center of Maryland LLC | Current | Accepting new patients |
Locations
7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828
3405 Olandwood Ct
Ste 102
Olney, MD 20832
Phone (301) 570-8671
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1043057078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 SWEET CLOVER CT",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846570",
"telephone_number": "410-615-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 MINSTREL WAY STE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455274",
"telephone_number": "410-290-6677"
}
],
"practiceLocations": [
{
"address_1": "1419 Forest Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214031474",
"country_code": "US",
"telephone_number": "410-290-6677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1212 York Rd Ste B201",
"address_purpose": "LOCATION",
"city": "Lutherville",
"state": "MD",
"postal_code": "210936242",
"country_code": "US",
"telephone_number": "410-290-6677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "JENNIE",
"middle_name": "MARIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R199079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.