NPIMap

Individual provider Active NPI

Jessica Mary Jean Sewell, PA-C

  • Medical Physician Assistant
  • Belcamp, MD
National Provider Identifier
1205803533
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0002651 Issued in MD
Practice address
103 Bata Blvd Ste a
Belcamp, MD 21017-1420
Phone
(410) 575-6611
NPI assigned
Mar 6, 2006
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0002651 MD Primary

Addresses

Primary practice location

103 Bata Blvd Ste a
Belcamp, MD 21017-1420

Mailing address

8817 Belair Rd
Suite 111
Nottingham, MD 21236-2425
Phone (410) 529-6440

Other practice location 1

8817 Belair Rd
Suite 111
Nottingham, MD 21236-2425
Phone (410) 529-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040129001164 MD Practitioner - Physician Assistant 8325941032 Reassigns benefits to 1 organization
I20220518000227 DC Practitioner - Physician Assistant 8325941032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

103 Bata Blvd a
Belcamp, MD 21017-1420
Phone (410) 575-6611

12 Newport Dr
Forest Hill, MD 21050-1758

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002651MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians CurrentSince May 1, 2022 Accepting new patients
Johns Hopkins Community Physicians CurrentSince May 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: jsewell967772@direct.hopkinsmedicine.org

Organizations & group practices 5

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 7

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": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1205803533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 BELAIR RD",
            "address_2": "SUITE 111",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362425",
            "telephone_number": "410-529-6440",
            "fax_number": "410-529-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BATA BLVD STE A",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171420",
            "telephone_number": "410-575-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8817 Belair Rd",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212362425",
            "country_code": "US",
            "telephone_number": "410-529-6440",
            "fax_number": "410-529-6793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "JESSICA",
        "middle_name": "MARY JEAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-06",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcamp, MD

Sources for this page

Verify at the official NPI Registry.