Individual provider Active NPI

Jennifer Elizabeth Siddle, FNP-C

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1164633293
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R231096 Issued in MD
Practice address
129 Lubrano Dr Ste 201
Annapolis, MD 21401-7567
Phone
(410) 573-0090
Fax
(410) 573-0097
NPI assigned
May 24, 2007
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R231096 MD Primary

Addresses

Primary practice location

129 Lubrano Dr Ste 201
Annapolis, MD 21401-7567

Mailing address

129 Lubrano Dr Ste 201
Annapolis, MD 21401-7567
Phone (410) 573-0090

Other names 1

  • Mrs. Jennifer Elizabeth Siddle Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MD, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080512000698 GA Practitioner - Nurse Practitioner 1951480243 Reassigns benefits to 1 organization
I20180313001507 MD Practitioner - Nurse Practitioner 1951480243 Reassigns benefits to 3 organizations
I20220228002402 DC Practitioner - Nurse Practitioner 1951480243

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 740-7544

5759 Cedar LN
Columbia, MD 21044-2912
Phone (443) 718-3738

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Feb 5, 2018 Accepting new patients
Johns Hopkins University CurrentSince Jun 1, 2023 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Feb 5, 2018 Accepting new patients
Northside Hospital, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Johns Hopkins University CurrentSince Jun 1, 2023 Accepting new patients
Johns Hopkins University Current Accepting new patients
Northside Hospital, Inc. CurrentSince Feb 1, 2016 Accepting new patients
David E Kim MD PC PastSince Jul 1, 2019 Accepting new patients
The Healthcaring Clinic of Georgia, LLC Family PastSince May 7, 2013 Accepting new patients

Locations

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: jsiddle1110874@direct.hopkinsmedicine.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1164633293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 LUBRANO DR STE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017567",
            "telephone_number": "410-573-0090",
            "fax_number": "410-573-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 LUBRANO DR STE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017567",
            "telephone_number": "410-573-0090",
            "fax_number": "410-573-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDLE",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R231096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SIDDLE",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.