Individual provider Active NPI

Jennifer L Krushinski, MS.CRNP

  • Dermatology Physician
  • Catonsville, MD
National Provider Identifier
1225212079
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R141961 Issued in MD
Practice address
716 Maiden Choice LN
Suite 305
Catonsville, MD 21228-5943
Phone
(410) 747-9422
Fax
(410) 747-4871
NPI assigned
Dec 28, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R141961 MD Primary

Addresses

Primary practice location

716 Maiden Choice LN
Suite 305
Catonsville, MD 21228-5943

Mailing address

716 Maiden Choice LN
Suite 305
Catonsville, MD 21228-5943
Phone (410) 747-9422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20131108001570 VA Practitioner - Nurse Practitioner 3678708138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center PCGroup PAC ID 6800844838, 6 clinicians

Practice addresses (Care Compare)

3501 Lafayette Blvd
Fredericksburg, VA 22408-4130
Phone (540) 371-7118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R141961MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center PC Dermatology CurrentSince Sep 9, 2013 Accepting new patients
Pennsylvania Dermatology Partners Inc Dermatology PastSince Dec 1, 2025 Accepting new patients

Locations

3501 Lafayette Blvd
Fredericksburg, VA 22408
Phone (540) 371-7118

Organizations & group practices 2

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 3

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1225212079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MAIDEN CHOICE LN",
            "address_2": "SUITE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285943",
            "telephone_number": "410-747-9422",
            "fax_number": "410-747-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MAIDEN CHOICE LN",
            "address_2": "SUITE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285943",
            "telephone_number": "410-747-9422",
            "fax_number": "410-747-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSHINSKI",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MS.CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "R141961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.