Individual provider Active NPI

Jeannette Lois Sweitzer, CRNP

  • Family Nurse Practitioner
  • Westernport, MD
National Provider Identifier
1053306647
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R08333 Issued in MD
Practice address
22221 Westernport Rd SW
Westernport, MD 21562-2206
Phone
(301) 533-3300
Fax
(301) 533-3299
NPI assigned
Sep 20, 2005
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R083333 MD
Family Nurse Practitioner 363LF0000X R08333 MD Primary

Addresses

Primary practice location

22221 Westernport Rd SW
Westernport, MD 21562-2206

Mailing address

1027 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 533-3300

Other practice location 1

109 Rayloc Dr
Hancock, MD 21750-1518
Phone (301) 678-5187

Other practice location 2

1027 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 533-3300

Other practice location 3

104 Parkview Dr
Grantsville, MD 21536-1086
Phone (844) 652-8730

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
I20101112001037 MD Practitioner - Nurse Practitioner 4880889054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Marymount University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 W High St
Hancock, MD 21750-1143
Phone (301) 678-7256

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R08333MDMDFamily Nurse Practitioner
R083333MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Health Center, Inc CurrentSince Jul 4, 2010 Accepting new patients
Tri-State Community Health Center, Inc CurrentSince Jul 4, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Western Maryland Health Care Corporation Past Accepting new patients

Locations

109 Rayloc Dr
Hancock, MD 21750
Phone (301) 678-5187

130 W High St
Hancock, MD 21750
Phone (301) 678-7256

Organizations & group practices 4

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 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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1053306647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22221 WESTERNPORT RD SW",
            "city": "WESTERNPORT",
            "state": "MD",
            "postal_code": "215622206",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Rayloc Dr",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MD",
            "postal_code": "217501518",
            "country_code": "US",
            "telephone_number": "301-678-5187",
            "fax_number": "301-678-5797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215504343",
            "country_code": "US",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Parkview Dr",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "MD",
            "postal_code": "215361086",
            "country_code": "US",
            "telephone_number": "844-652-8730",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEITZER",
        "first_name": "JEANNETTE",
        "middle_name": "LOIS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R083333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R08333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westernport, MD

Sources for this page

Verify at the official NPI Registry.