Individual provider Active NPI

Jordan Lynne McAllister, NP-C

  • Nurse Practitioner
  • Easton, MD
National Provider Identifier
1205226305
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R234425 Issued in MD
Practice address
8221 Teal Dr Ste 301
Easton, MD 21601
Phone
(410) 820-5945
NPI assigned
Jan 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R234425 MD Primary
General Practice Registered Nurse 163WG0000X R234425 MD

Addresses

Primary practice location

8221 Teal Dr Ste 301
Easton, MD 21601

Mailing address

8221 Teal Dr Ste And406
Easton, MD 21601-7227
Phone (410) 820-5945

Other practice location 1

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3300

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
I20180612001457 MD Practitioner - Nurse Practitioner 2062767288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kinetic Cardiology ServicesGroup PAC ID 3476909615, 3 clinicians

Practice addresses (Care Compare)

415 Morgnec Rd
Chestertown, MD 21620-1046
Phone (310) 664-2880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R234425MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Dec 22, 2019 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 22, 2019 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Kinetic Cardiology Services CurrentSince Mar 2, 2024 Accepting new patients

Locations

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

202 Coursevall Dr
Ste 101
Centreville, MD 21617
Phone (410) 758-3303

202 Coursevall Dr
Centreville, MD 21617
Phone (410) 758-3303

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

415 Morgnec Rd
Chestertown, MD 21620
Phone (310) 664-2880

Organizations & group practices 4

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": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1205226305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 TEAL DR STE AND406",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017227",
            "telephone_number": "410-820-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 TEAL DR STE 301",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-820-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "302-645-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "JORDAN",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R234425",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MD",
            "license": "R234425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.