Tara C Jernejcic, PA-C
Individual provider Active NPI Medical Physician Assistant · Thurmont, MD
NPI 1104809342 · NPPES record last updated Nov 13, 2025
Key facts
- NPI
- 1104809342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C005418 (MD)
- Practice address
- 100 S Center St
Thurmont, MD 21788-1945 - Phone
- (301) 696-8801
- Fax
- (301) 696-0186
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amreen S Aziz MD PA
Practice addresses (Care Compare)
100 S Ctr St
Thurmont, MD 21788-1945
Phone (307) 271-4333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141215001487 | MD | Practitioner - Physician Assistant | 6709775117 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005418 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amreen S Aziz MD PA | Current |
Accepting new patients | |
| Choice Consulting Services, PLLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Piedmont Senior Care, PLLC | Past | Accepting new patients |
Locations
180 Thomas Johnson Dr
Ste 101
Frederick, MD 21702
Phone 3016968801 ext. 222
100 S Center St
Thurmont, MD 21788
Phone (301) 271-4333
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHEJAD/Endpoint/BHEJAD
- https://fhir4.healow.com/fhir/r4/BAIFDD/Endpoint/BAIFDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C005418 | MD | Yes |
Addresses
Primary practice location
100 S Center St
Thurmont, MD 21788-1945
Mailing address
100 S Center St
Thurmont, MD 21788-1945
Phone (301) 696-8801
Other practice location 1
180 Thomas Johnson Dr Ste 101
Frederick, MD 21702-4489
Phone (301) 696-8801 ext. 222
Other providers in Thurmont, MD
- David Homans
- Molly Howser Smith
- Isabella Itnyre
- Amara-Niani Jackson
- Gabrielle A Jeanty
- Brittany Johnson
- Halim Johnson
- Kim Lavelle Johnson
- Caroline Jones
- Melissa Jones
All providers in Thurmont, MD · Medical Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.