Individual provider Active NPI

Jennifer Helaine Marie Haase, M.D.

  • Obstetrics & Gynecology Physician
  • Annapolis, MD
National Provider Identifier
1194110106
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0086850 Issued in MD
Practice address
2000 Medical Pkwy Ste 304
Annapolis, MD 21401-3745
Phone
(410) 573-9530
Fax
(667) 204-7229
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X RS2015-0315 NM
Obstetrics & Gynecology Physician 207V00000X D0086850 MD Primary

Addresses

Primary practice location

2000 Medical Pkwy Ste 304
Annapolis, MD 21401-3745

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (667) 204-7212

Other practice location 1

18 Magothy Beach Rd Ste A
Pasadena, MD 21122-4477
Phone (410) 573-9530

Other practice location 2

2000 Medical Pkwy Ste 309
Annapolis, MD 21401-3745
Phone (410) 224-1133

Other practice location 3

1630 Main St Ste 211
Chester, MD 21619-2793
Phone (410) 573-9530

Other practice location 4

2401 Brandermill Blvd Ste 350
Gambrills, MD 21054-1617
Phone (410) 573-9530

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190807003365 MD Practitioner - Obstetrics/Gynecology 4587977285 Reassigns benefits to 2 organizations
I20200107001262 DC Practitioner - Obstetrics/Gynecology 4587977285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2000 Medical Pkwy
Suite 304
Annapolis, MD 21401-3745
Phone (410) 573-9530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0086850MDMDObstetrics & Gynecology Physician
RS2015-0315NMMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Oct 1, 2021 Accepting new patients
Simmonds, Martin & Helmbrecht, LLC Obstetrics & Gynecology CurrentSince Jul 15, 2019 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 1, 2021 Accepting new patients
Luminis Health Anne Arundel Medical Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 309
Annapolis, MD 21401
Phone (410) 224-1133

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2000 Medical Pkwy
Ste 304
Annapolis, MD 21401
Phone (410) 573-9530

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

1630 Main St
Ste 211
Chester, MD 21619
Phone (410) 573-9530

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-2305

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

2401 Brandermill Blvd
Ste 350
Gambrills, MD 21054
Phone (410) 573-9530

19735 Germantown Rd
Ste 270
Germantown, MD 20874
Phone (301) 444-8350

18 Magothy Beach Rd
Ste A
Pasadena, MD 21122
Phone (410) 573-9530

Organizations & group practices 6

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 2

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1194110106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "667-204-7212",
            "fax_number": "443-481-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 304",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013745",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Magothy Beach Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211224477",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Medical Pkwy Ste 309",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013745",
            "country_code": "US",
            "telephone_number": "410-224-1133",
            "fax_number": "410-266-1639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Main St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192793",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Brandermill Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541617",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAASE",
        "first_name": "JENNIFER",
        "middle_name": "HELAINE MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "RS2015-0315",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0086850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.