Individual provider Active NPI

Jennie Marie Robinson, CRNP

  • Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1043057078
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R199079 Issued in MD
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

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20250523001313 DC Practitioner - Nurse Practitioner 7719406651 Reassigns benefits to 1 organization
I20250523001426 MD Practitioner - Nurse Practitioner 7719406651 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199079MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Center of Maryland LLC CurrentSince May 1, 2025 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

Verify at the official NPI Registry.