Individual provider Active NPI

Leslie June McJilton, PA-C

  • Medical Physician Assistant
  • Nottingham, MD
National Provider Identifier
1104150838
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0006324 Issued in MD
Practice address
Medstar Urgent Care Clinic
8605 Ridgelys Choice Dr Suite 100
Nottingham, MD 21236-2953
Phone
(855) 910-3278
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0006324 MD Primary
Surgical Physician Assistant 363AS0400X C0006324 MD

Addresses

Primary practice location

Medstar Urgent Care Clinic
8605 Ridgelys Choice Dr Suite 100
Nottingham, MD 21236-2953

Mailing address

8605 Ridgelys Choice Dr Ste 100
Baltimore, MD 21236-2953
Phone (855) 910-3278

Other identifiers 1

IdentifierTypeStateIssuer
C0006324OtherMDMARYLAND STATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170405000670 MD Practitioner - Physician Assistant 1153607130 Reassigns benefits to 4 organizations
I20220118000488 DC Practitioner - Physician Assistant 1153607130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Urgent Care LLCGroup PAC ID 9335303155, shared by 36 NPIs, 300 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 877-8087

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6334 Cedar LN
Columbia, MD 21044-3898
Phone (410) 531-2487

6500 Baltimore National Pike
Catonsville, MD 21228-4200
Phone (410) 807-8067

7825 York Rd
Towson, MD 21204-7445
Phone (443) 332-4353

8125 Ritchie Hwy
Suite H
Pasadena, MD 21122-6925
Phone (410) 544-2075

8605 Ridgelys Choice Dr
Nottingham, MD 21236-2953
Phone (410) 248-2310

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006324MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
University of Maryland St. Joseph Orthopaedics, LLC CurrentSince Jan 28, 2017 Accepting new patients
Statcare Group, LLC CurrentSince Oct 23, 2017 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

8 Denton Plz
#1
Denton, MD 21629
Phone (443) 606-2300

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900

8605 Ridgelys Choice Dr
Ste 100
Nottingham, MD 21236

8322 Bellona Ave
Rm 100
Towson, MD 21204
Phone (410) 337-7900

1220A E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 296-0018

8322 Bellona Ave
Towson, MD 21204
Phone (410) 328-3645

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

3711 S Mopac Expy
Bldg 2
Austin, TX 78746

Organizations & group practices 12

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1104150838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 RIDGELYS CHOICE DR STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362953",
            "telephone_number": "855-910-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDSTAR URGENT CARE CLINIC",
            "address_2": "8605 RIDGELYS CHOICE DR SUITE 100",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362953",
            "telephone_number": "855-910-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCJILTON",
        "first_name": "LESLIE",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0006324",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0006324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE LICENSE",
            "identifier": "C0006324",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.