Individual provider Active NPI

Jessica M Hnatiuk

  • Physician Assistant
  • Lutherville Timonium, MD
National Provider Identifier
1154970267
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2118 Greenspring Dr
Lutherville Timonium, MD 21093-3112
Phone
(443) 642-8666
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 Primary

Addresses

Primary practice location

2118 Greenspring Dr
Lutherville Timonium, MD 21093-3112

Mailing address

4128 Beachwood Rd
Baltimore, MD 21222-3605

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
I20200128000080 MD Practitioner - Physician Assistant 6507291275 Reassigns benefits to 2 organizations
I20210210002433 DC Practitioner - Physician Assistant 6507291275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 877-8088

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

2118 Greenspring Dr
Timonium, MD 21093-3112
Phone (410) 560-3480

3333 N Calvert St
Baltimore, MD 21218-6502

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

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

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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

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

3333 N Calvert St
Ste 400
Baltimore, MD 21218
Phone (410) 554-2270

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

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

2118 Greenspring Dr
Fl 2
Lutherville Timonium, MD 21093

2 Loveton Cir
Sparks Glencoe, MD 21152
Phone (410) 472-7091

2118 Greenspring Dr
Timonium, MD 21093
Phone (410) 252-5671

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

Organizations & group practices 4

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1154970267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 BEACHWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212223605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 GREENSPRING DR",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210933112",
            "telephone_number": "443-642-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HNATIUK",
        "first_name": "JESSICA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.