Individual provider Active NPI

Jasmine Ophelia Pega, CRNP

  • Family Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1083017446
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R183401 Issued in MD
Practice address
11110 Medical Campus Rd Ste 150
Hagerstown, MD 21742-6755
Phone
(301) 665-4825
Fax
(301) 665-4826
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R183401 MD
Family Nurse Practitioner 363LF0000X SP033078 PA
Family Nurse Practitioner 363LF0000X R183401 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 150
Hagerstown, MD 21742-6755

Mailing address

17355 Kilpatrick CT
Hagerstown, MD 21740-1090
Phone (240) 382-4347

Other practice location 1

12104 Buchanan Trl E
Waynesboro, PA 17268-9429
Phone (717) 749-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 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
I20141211000084 MD Practitioner - Nurse Practitioner 0547582066 Reassigns benefits to 2 organizations
I20250913000223 PA Practitioner - Nurse Practitioner 0547582066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

187 Thomas Johnson Dr
Frederick, MD 21702-4503

Hospital & facility affiliations

  • Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R183401MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center Current Accepting new patients
Keystone Rural Health Center CurrentSince Aug 27, 2025 Accepting new patients
Keystone Rural Health Center CurrentSince Aug 27, 2025 Accepting new patients
Medical Practices of Antietam, LLC CurrentSince Aug 8, 2016 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Jul 1, 2024 Accepting new patients
Frederick Health Medical Group LLC Current Accepting new patients
Frederick Health Medical Group LLC CurrentSince Jul 1, 2024 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Aug 8, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

194 Thomas Johnson Dr
Ste A
Frederick, MD 21702
Phone (240) 215-6370

194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

11110 Medical Campus Rd
Ste 150
Hagerstown, MD 21742
Phone (301) 665-4825

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

12104 Buchanan Trl E
Waynesboro, PA 17268
Phone (717) 749-0150

Interoperability endpoints

  • Direct secure messaging: jpega488974@wellspan.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1083017446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17355 KILPATRICK CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401090",
            "telephone_number": "240-382-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 150",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426755",
            "telephone_number": "301-665-4825",
            "fax_number": "301-665-4826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12104 Buchanan Trl E",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172689429",
            "country_code": "US",
            "telephone_number": "717-749-0150",
            "fax_number": "717-749-0153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEGA",
        "first_name": "JASMINE",
        "middle_name": "OPHELIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R183401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033078",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R183401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.