Individual provider Active NPI

Jamie E Jessup, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1184492712
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R235515 Issued in MD
Practice address
116 Defense Hwy Ste 400
Annapolis, MD 21401-7050
Phone
(410) 897-9841
Fax
(410) 897-9852
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 R235515 MD Primary

Addresses

Primary practice location

116 Defense Hwy Ste 400
Annapolis, MD 21401-7050

Mailing address

2528 Foster Ave
Baltimore, MD 21224-3748
Phone (203) 733-4252

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240409000076 MD Practitioner - Nurse Practitioner 0244678464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Annapolis Internal Medicine, LLCGroup PAC ID 2163324997, 22 clinicians

Practice addresses (Care Compare)

116 Defense Hwy
Suite 400
Annapolis, MD 21401-7050
Phone (410) 897-9841

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Internal Medicine, LLC CurrentSince Apr 1, 2024 Accepting new patients
Titus C. Abraham, MD, LLC Past Accepting new patients

Locations

116 Defense Hwy
Ste 104
Annapolis, MD 21401
Phone (410) 897-0560

116 Defense Hwy
Ste 400
Annapolis, MD 21401
Phone (410) 897-9841

Interoperability endpoints

  • Direct secure messaging: jamie.jessup.1@3805.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3805/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1184492712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 FOSTER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243748",
            "telephone_number": "203-733-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017050",
            "telephone_number": "410-897-9841",
            "fax_number": "410-897-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "JAMIE",
        "middle_name": "E",
        "credential": "CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R235515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.