Phyllis Jennings

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R119059 Issued in MD

Practice address

1576 Merritt Blvd Ste 14
Dundalk, MD 21222-2114

Phone

(410) 650-2000

Fax

(866) 639-5353

NPI assigned

Aug 6, 2017

Sex

Female

Sole proprietor

Yes

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

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 1

Specialty

Nurse Practitioner

Education

Other, 2010

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

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
• The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081
• Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
• Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015

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

Medicare enrollment (NPD)

Enrolled

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• The Johns Hopkins Home Health Services, Inc.

  • Home Health Agency
  • Baltimore, MD
  • NPI 1669551321
  Care Compare affiliation Name & address match
• Franklin Square Hospital Center, Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1184712085
  Care Compare affiliation
• Medstar Health Visiting Nurse Association, Inc.

  • Home Health Agency
  • Baltimore, MD
  • NPI 1790899524
  Care Compare affiliation
• The Johns Hopkins Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1578597993
  Care Compare affiliation

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

{
    "created_epoch": "1501977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1154846699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 14",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "410-650-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 14",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "410-650-2000",
            "fax_number": "866-639-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "PHYLLIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-06",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R119059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falisha Marie Jankiewicz-Redenbaugh, LCSW-C
• Mary Paula Jankowiak, RPH
• Naomi Janney
• Tahesha A Jean
• Ject Health Inc
• Michelle Joffe, FNP
• Johns Hopkins University
• Johns Hopkins University
• Johns Hopkins University
• Arlene Dahl Johns, P.T.

• Family Nurse Practitioner in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.