Jacquelyn Engwall, CRNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

R210283 Issued in MD

Practice address

510 Upper Chesapeake Dr Ste 518
Bel Air, MD 21014-4332

Phone

(443) 643-4530

NPI assigned

Aug 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Drexel University College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upper Chesapeake Womens Care, LLCGroup PAC ID 8628254356, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jengwall223255@direct.umm.edu

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.

• Upper Chesapeake Womens Care, LLC

  • Obstetrics & Gynecology Physician
  • Bel Air, MD
  • NPI 1275843013
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upper Chesapeake Medical Center, Inc.

  • General Acute Care Hospital
  • Bel Air, MD
  • NPI 1598761355
  Care Compare affiliation

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1225813587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 FELL ST APT 428",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR STE 518",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144332",
            "telephone_number": "443-643-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGWALL",
        "first_name": "JACQUELYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R210283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endodontics, P.a.
• Arlene Marie Endres
• Sophie Engel, CRNP
• Joshua David Englander, DDS
• Stacey Engram
• Gary Merle Epstein, D.D.S.
• David John Ericson, PA-C
• Grace Esare-Nkrumah, MD
• Bria Escalera, LCSW-C
• Lynn Eskite-Tant, LCSW-C

• Obstetrics & Gynecology Nurse Practitioner in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Obstetrics & Gynecology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.