Jubeth Fontanilla

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R165036 Issued in MD

Practice address

525 N Wolfe St
Baltimore, MD 21205-2110

Phone

(410) 955-7548

NPI assigned

Apr 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Synergy Medical Group LLCGroup PAC ID 0749644177, 102 clinicians

Azra a Ahmed MD/PAGroup PAC ID 6507934395, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Azra a Ahmed MD/PA

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1295916724
  Medicare reassignment Care Compare group NPD
• Synergy Medical Group LLC

  • Internal Medicine Physician
  • Lutherville, MD
  • NPI 1912736901
  Medicare reassignment Care Compare group
• Erickson Health Medical Group of Maryland PC

  • Internal Medicine Physician
  • Catonsville, MD
  • NPI 1598816449

  Adult Health

  Medicare reassignment NPD
• Liaqat Ali, MD PA

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1538475694
  Medicare reassignment NPD
• Varahe Health Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Rockville, MD
  • NPI 1811727753

  DC

  Medicare reassignment NPD
• Synergy Medical Group LLC

  • Vascular Surgery Physician
  • Timonium, MD
  • NPI 1679363089

  DC

  Medicare reassignment
• Erickson Health Medical Group of Maryland PC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1093735474

  Adult Health

  NPD
• Erickson Health Medical Group of Maryland PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bethesda, MD
  • NPI 1518830611

  Adult Health

  NPD
• Synergy Medical Group LLC

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1003782707
  NPD
• Synergy Medical Group LLC

  • Nephrology Physician
  • Hagerstown, MD
  • NPI 1881564979
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gilchrist Hospice Care Inc.

  • Inpatient Hospice
  • Towson, MD
  • NPI 1780773408
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1053808196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARGERY CT",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052110",
            "telephone_number": "410-955-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANILLA",
        "first_name": "JUBETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-14",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R165036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique Fontaine, LCSW
• Leslie Fontaine
• Morgan Fontana
• Suzanne Fontanesi
• Cristina Fontanez -Garrison, PT
• Belleh Fontava
• Marcelo Augusto Fontenelle Ribeiro Jr., MD
• Amy Dawn Fonti, R.N.
• Fong Yee Foo, M.D.
• Madeline I-Shin Foo, MD

• Adult Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.

Verify at the official NPI Registry.