Individual provider Active NPI

Annette M Jubb

  • Certified Registered Nurse Anesthetist
  • Columbia, MD
National Provider Identifier
1194902932
Registry record updated Nov 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R157934 Issued in MD
Practice address
10400 Little Patuxent Pkwy
Columbia, MD 21044-3518
Phone
(888) 339-8727
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R157934 MD Primary

Addresses

Primary practice location

10400 Little Patuxent Pkwy
Columbia, MD 21044-3518

Mailing address

38774 Wilson Ave
Selbyville, DE 19975-4414
Phone (410) 493-8697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081017000337 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759449820 Reassigns benefits to 7 organizations
I20200608000007 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759449820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Endoscopy Anesthesia LLCGroup PAC ID 6002117900, 6 clinicians
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians

Practice addresses (Care Compare)

100 W Rd
Suite 115
Towson, MD 21204-2358
Phone (410) 494-0144

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3800

46 W Gude Dr
Rockville, MD 20850-1150
Phone (301) 424-6901

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R157934MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Associates, LLC CurrentSince Feb 18, 2024 Accepting new patients
Lifebridge Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Maryland Endoscopy Anesthesia LLC CurrentSince Feb 17, 2020 Accepting new patients
Maryland Expresscare LLC CurrentSince Jul 1, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jun 12, 2016 Accepting new patients
University of Maryland Medical System Corporation Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Jun 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jun 12, 2016 Accepting new patients

Locations

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

2401 W Belvedere Ave
Baltimore, MD 21215

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797

7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

2101 E Jefferson St
#4E
Rockville, MD 20852

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

46 W Gude Dr
Rockville, MD 20850
Phone (240) 750-6170

100 West Rd
Ste 115
Towson, MD 21204
Phone (410) 494-0144

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

1220C E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

1220 E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1A Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-5579

Organizations & group practices 10

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1194902932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38774 WILSON AVE",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199754414",
            "telephone_number": "410-493-8697",
            "fax_number": "410-493-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 LITTLE PATUXENT PKWY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443518",
            "telephone_number": "888-339-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBB",
        "first_name": "ANNETTE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R157934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.