Active NPI
Jemima Blackmon
- Family Nurse Practitioner
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R220599
- Practice address
- 1126 Opal Court
Hagerstown, MD 21740 - Phone
- (240) 420-2666
- NPI assigned
- Apr 22, 2016
- Last updated
- Aug 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R220599 | MD | Primary |
Addresses
Primary practice location
1126 Opal Court
Hagerstown, MD 21740
Mailing address
1126 Opal CT
Hagerstown, MD 21740-5940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Patient First Maryland Medical Group PLLC
Practice addresses (Care Compare)
2855 Crain Hwy
Waldorf, MD 20601-2807
Phone (240) 427-1926
6201 Annapolis Rd
Landover Hills, MD 20784-1307
Phone (301) 276-3377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R220599 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics Rehabilitative Services - Ltcaco LLC | Current | Accepting new patients | |
| Mdics Rehabilitative Services LLC | Current | Accepting new patients | |
| Patient First Maryland Medical Group PLLC | Current | Accepting new patients | |
| Mdics at Civista LLC | Current | Accepting new patients | |
| Patient First Maryland Medical Group PLLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Patient First Maryland Medical Group PLLC | Current | Accepting new patients | |
| Medstar Urgent Care, LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Patient First Maryland Medical Group, PLLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483
3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600
6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575
7116 Ritchie Hwy
Glen Burnie, MD 21061
Phone (443) 577-0277
7698 Dorchester Blvd
Ste 204
Hanover, MD 21076
121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133
6201 Annapolis Rd
Landover Hills, MD 20784
Phone (301) 276-3377
3357B Corridor Marketplace
Laurel, MD 20724
Phone (301) 497-1820
1110 Annapolis Rd
Odenton, MD 21113
Phone (443) 351-3917
10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776
8105 Ritchie Hwy
Pasadena, MD 21122
Phone (443) 573-0564
12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483
726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411
2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300
950 York Rd
Towson, MD 21204
Phone (410) 372-6373
2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
Organizations & group practices 13
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.
-
dba MedStar PromptCare
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
dba MedStar PromptCare-Wheaton
- Urgent Care Clinic/Center
- Wheaton, MD
- NPI 1871843409
DC
-
- Family Medicine Physician
- Silver Spring, MD
- NPI 1265866503
DC
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1962423632
MD
-
dba Righttime Medical Care
- Emergency Medicine Physician
- Rockville, MD
- NPI 1912911215
-
- Hospitalist Physician
- La Plata, MD
- NPI 1225323496
-
- Internal Medicine Physician
- La Plata, MD
- NPI 1033005475
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1124313309
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Family Medicine Physician
- Waldorf, MD
- NPI 1205087517
-
- Family Medicine Physician
- Capitol Heights, MD
- NPI 1427807999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1194179531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 OPAL CT",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 OPAL COURT",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "240-420-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMON",
"first_name": "JEMIMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-22",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R220599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.