Individual provider Active NPI

Jemima Blackmon

  • Family Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1194179531
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R220599 Issued in MD
Practice address
1126 Opal Court
Hagerstown, MD 21740
Phone
(240) 420-2666
NPI assigned
Apr 22, 2016
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 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, 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
I20161020000408 MD Practitioner - Nurse Practitioner 2860770153 Reassigns benefits to 3 organizations
I20171130003321 DC Practitioner - Nurse Practitioner 2860770153 Reassigns benefits to 2 organizations

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 PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

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

LicenseStateTypeSpecialty
R220599MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics Rehabilitative Services - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Mdics Rehabilitative Services LLC CurrentSince Sep 1, 2024 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Sep 1, 2020 Accepting new patients
Mdics at Civista LLC CurrentSince Sep 1, 2024 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Sep 1, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Sep 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 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.

View all 13

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

Verify at the official NPI Registry.