Individual provider Active NPI

Jodie C Pelusi

  • Midwife
  • Owings Mills, MD
National Provider Identifier
1225857121
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
R238843 Issued in MD
Practice address
10301 Grand Central Ave Apt 228
Owings Mills, MD 21117-4067
Phone
(412) 420-4224
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X R238843 MD Primary

Addresses

Primary practice location

10301 Grand Central Ave Apt 228
Owings Mills, MD 21117-4067

Mailing address

10301 Grand Central Ave Apt 228
Owings Mills, MD 21117-4067
Phone (412) 420-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114004285 MD Practitioner - Certified Nurse Midwife (CNM) 8527592336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

3449 Wilkens Ave
Suite 305
Baltimore, MD 21229-5218
Phone (410) 644-2582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R238843MDMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Jan 26, 2025 Accepting new patients
Seton Medical Group, Inc CurrentSince Dec 1, 2024 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jan 26, 2025 Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3449 Wilkens Ave
Ste 300
Baltimore, MD 21229
Phone (410) 747-4080

3449 Wilkens Ave
Ste 305
Baltimore, MD 21229
Phone (410) 368-8685

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

3585 Washington Blvd
Halethorpe, MD 21227

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1225857121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 GRAND CENTRAL AVE APT 228",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174067",
            "telephone_number": "412-420-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GRAND CENTRAL AVE APT 228",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174067",
            "telephone_number": "412-420-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELUSI",
        "first_name": "JODIE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MD",
            "license": "R238843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.