Active NPI
Jessica Lacayo, FNP-BC
- Family Nurse Practitioner
- Urbana, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R194464
- Practice address
- 3350 Worthington Boulevard
Urbana, MD 21704 - Phone
- (240) 699-0018
- NPI assigned
- Jan 17, 2014
- 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 | R194464 | MD | Primary |
Addresses
Primary practice location
3350 Worthington Boulevard
Urbana, MD 21704
Mailing address
4636 Ripley Manor Ter
Olney, MD 20832-1865
Phone (301) 801-1949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- 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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1099 Winterson Rd
Suite 300
Linthicum, MD 21090-2279
1350 Blair Dr
Suite F
Odenton, MD 21113-1333
Phone (443) 407-0526
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.37 of 100
- Quality
- 74
- Improvement activities
- 40
- Cost
- 72.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Health Weight Management, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581
499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832
850 Oak St
Frederick, MD 21703
Phone (301) 689-8374
118 E Oak Ridge Dr
Ste 1100
Hagerstown, MD 21740
Phone (240) 382-1312
1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785
1350 Blair Dr
Ste F
Odenton, MD 21113
Phone (443) 230-3956
Interoperability endpoints
- lacayo.jessica@ca-md.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Linthicum Heights, MD
- NPI 1013785971
DC
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1326460817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4636 RIPLEY MANOR TER",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321865",
"telephone_number": "301-801-1949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 WORTHINGTON BOULEVARD",
"city": "URBANA",
"state": "MD",
"postal_code": "21704",
"telephone_number": "240-699-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACAYO",
"first_name": "JESSICA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-17",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R194464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.