Individual provider Active NPI

Janell Good, PA

  • Physician Assistant
  • Princess Anne, MD
National Provider Identifier
1144016676
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009911 Issued in MD
Practice address
11868 College Backbone Rd, Princess Anne
Princess Anne, MD 21853
Phone
(410) 651-2200
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0009911 MD Primary

Addresses

Primary practice location

11868 College Backbone Rd, Princess Anne
Princess Anne, MD 21853

Mailing address

11868 College Backbone Rd
Princess Anne, MD 21853
Phone (410) 651-6783

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
I20250912001178 MD Practitioner - Physician Assistant 1456854686 Reassigns benefits to 1 organization
I20250912002992 DC Practitioner - Physician Assistant 1456854686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

10845 Town Ctr Blvd
Suite 108
Dunkirk, MD 20754-2712
Phone (410) 650-4346

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

1211 Liberty Rd
Eldersburg, MD 21784-7927
Phone (410) 617-9129

14090 HG Trueman Rd
Suite 1300
Solomons, MD 20688-3151
Phone (410) 394-2800

14421 Baltimore Ave
Laurel, MD 20707-4949
Phone (240) 786-6684

19825 Frederick Rd
Germantown, MD 20876-1309
Phone (240) 801-9944

750 Rockville Pike
Rockville, MD 20852-1133
Phone (301) 424-0658

99 Baughmans LN
Frederick, MD 21702-4904
Phone (301) 662-1392

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0009911MDMDPhysician Assistant

Organizations & group practices 1

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": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1144016676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11868 COLLEGE BACKBONE RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "21853",
            "telephone_number": "410-651-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11868 COLLEGE BACKBONE RD, PRINCESS ANNE",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "21853",
            "telephone_number": "410-651-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "JANELL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princess Anne, MD

Sources for this page

Verify at the official NPI Registry.