Jennifer Wodajo, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R259382 Issued in MD

Practice address

292 Stoner Ave
Westminster, MD 21157-5629

Phone

(443) 244-6480

Fax

(410) 871-7216

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridginglife, Inc.Group PAC ID 4880797943, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bridginglife, Inc.

  • Community Based Hospice Care Agency
  • Westminster, MD
  • NPI 1760673669
  Medicare reassignment Care Compare group NPD
• Bridginglife, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Westminster, MD
  • NPI 1073104535
  NPD
• Bridginglife, Inc.

  • Community Based Hospice Care Agency
  • Westminster, MD
  • NPI 1437156775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1225631823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575726",
            "telephone_number": "410-871-6864",
            "fax_number": "410-871-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 STONER AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575629",
            "telephone_number": "443-244-6480",
            "fax_number": "410-871-7216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Jackson St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021622",
            "country_code": "US",
            "telephone_number": "502-852-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WODAJO",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3014287",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R259382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zellena Patrice Williams
• Avery M Wilson, DMD
• Christopher Wilson, MPH, MSN, AGACNP-BC
• Laura Winn, PHARM.D.
• Christine Wittle
• Shirley Ann Wolf, LCSW-C
• Samantha N Wolfe, LCSW-C
• Evan Alexander Womeldorf, ATC
• Donald L Wong, PA
• Christine Woodcock

• Nurse Practitioner in Westminster, MD
• Providers in Westminster, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.