Active NPI
Angela Marie Jefferson, CRNP-F
- Family Nurse Practitioner
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R165285
- Practice address
- 1111 Mount Hermon Rd Ste a
Salisbury, MD 21804-5109 - Phone
- (410) 546-2133
- Fax
- (410) 548-3361
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R165285 | MD | Primary |
Addresses
Primary practice location
1111 Mount Hermon Rd Ste a
Salisbury, MD 21804-5109
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (410) 581-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Mount Hermon Rd
A
Salisbury, MD 21804-5109
Phone (410) 546-2133
1838 Greene Tree Rd
Suite 460
Baltimore, MD 21208-7113
Phone (410) 581-8140
220 Pennsylvania Ave
Seaford, DE 19973-3820
Phone (410) 581-1600
314 Franklin Ave
Suite 302
Berlin, MD 21811-1238
Phone (410) 641-3735
Hospital & facility affiliations
- Tidalhealth Nanticoke, Inc.
- Tidalhealth Peninsula Regional, Inc
- Atlantic General Hospital
- Beebe Medical Center
- University of MD Shore Medical Center at Easton
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R165285 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Urology Associates, LLC | Current | Accepting new patients | |
| Freedom Healthcare, LLC | Current | Accepting new patients | |
| Chesapeake Urology Associates, LLC | Current | Accepting new patients |
Locations
1119 E Monument St
Baltimore, MD 21202
Phone (443) 705-5056
3310 Eastern Ave
Baltimore, MD 21224
Phone (443) 708-5056
314 Franklin Ave
Ste 302
Berlin, MD 21811
Phone (410) 641-0430
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681
1111 Mount Hermon Rd
#A
Salisbury, MD 21804
Phone (410) 546-2133
1111 Mount Hermon Rd
Ste A
Salisbury, MD 21804
Phone (410) 546-2133
Interoperability endpoints
- angelajefferson@tsicua.allscriptsdirect.net
Organizations & group practices 4
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.
-
dba Chesapeake Oncology Hematology Associates
- Hematology & Oncology Physician
- Stevensville, MD
- NPI 1467337337
-
dba Community Wellness Center
- Primary Care Clinic/Center
- Baltimore, MD
- NPI 1184057481
-
- Urology Physician
- Seaford, DE
- NPI 1043719123
-
- Urology Physician
- Berlin, MD
- NPI 1194147835
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UM Shore Medical Center at Dorchester
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
dba UM Shore Medical Center at Easton
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
dba Atlantic General Hospital Corp
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1275755076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 GRAND CENTRAL AVE STE 220",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174366",
"telephone_number": "410-581-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MOUNT HERMON RD STE A",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045109",
"telephone_number": "410-546-2133",
"fax_number": "410-548-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CRNP-F",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R165285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.