Individual provider Active NPI

Jerbbi Cura Austin, CRNP

  • Acute Care Nurse Practitioner
  • Havre de Grace, MD
National Provider Identifier
1306582630
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R198425 Issued in MD
Practice address
302 Barrows CT
Havre de Grace, MD 21078-4257
Phone
(443) 619-1124
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R198425 MD Primary

Addresses

Primary practice location

302 Barrows CT
Havre de Grace, MD 21078-4257

Mailing address

302 Barrows CT
Havre de Grace, MD 21078-4257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220701000831 MD Practitioner - Nurse Practitioner 0840670253 Reassigns benefits to 2 organizations
I20240506000653 DE Practitioner - Nurse Practitioner 0840670253 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Jul 1, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 31, 2024 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Nov 8, 2023 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 31, 2024 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. Acute Care CurrentSince Nov 8, 2023 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

6535 N Charles St
Ste 125
Towson, MD 21204
Phone (443) 849-3779

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1306582630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BARROWS CT",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210784257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BARROWS CT",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210784257",
            "telephone_number": "443-619-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JERBBI",
        "middle_name": "CURA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R198425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.