Jenifer Abbott, PA-C
Individual provider Active NPI Physician Assistant · Havre de Grace, MD
NPI 1225136161 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1225136161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- C0003395 (MD)
- Practice address
- 930 Revolution St
Havre de Grace, MD 21078 - Phone
- (410) 939-0961
- Fax
- (410) 939-7832
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anne Arundel Dermatology PA
Practice addresses (Care Compare)
180 Admiral Cochrane Dr
Annapolis, MD 21401-8405
Phone (410) 263-5439
930 Revolution St
Havre de Grace, MD 21078-3718
Phone (410) 939-0961
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.75 of 100
- Promoting interoperability
- 95
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061207000402 | MD | Practitioner - Physician Assistant | 1153320718 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0003395 | MD | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0003395 | MD | Yes |
Addresses
Primary practice location
930 Revolution St
Havre de Grace, MD 21078
Mailing address
930 Revolution St
Havre de Grace, MD 21078-3718
Phone (410) 939-0961
Other practice location 1
510 Upper Chesapeake Dr Pavillion III Suite 415
Bel Air, MD 21014-4336
Phone (410) 939-0961
Other providers in Havre de Grace, MD
- 321 Therapy, LLC
- John Acquaviva Jr.
- Angelina Addae-Mensah
- Adfinitas Health at Upper Chesapeake Harford Memorial LLC
- Advanced Pain Management Specialists, LLC
- Advanced Pain Management Specialists, LLC
All providers in Havre de Grace, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.