Individual provider Active NPI

Kaitlyn Jensen, CNM

  • Advanced Practice Midwife
  • Annapolis, MD
National Provider Identifier
1326866757
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
2003 Medical Pkwy Ste G50
Annapolis, MD 21401-3067
Phone
(443) 481-4400
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X R239348 MD
Advanced Practice Midwife 367A00000X MD Primary

Addresses

Primary practice location

2003 Medical Pkwy Ste G50
Annapolis, MD 21401-3067

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (677) 204-7212

Other practice location 1

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

Other practice location 2

202 Coursevall Dr Ste 101
Centreville, MD 21617-2805
Phone (443) 481-4400

Other practice location 3

2000 Medical Pkwy Ste 309
Annapolis, MD 21401-3745
Phone (410) 224-1133

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
I20250130003575 MD Practitioner - Certified Nurse Midwife (CNM) 6709315047 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 11, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

2003 Medical Pkwy
Ste G50
Annapolis, MD 21401
Phone (410) 573-1094

2000 Medical Pkwy
Ste 309
Annapolis, MD 21401
Phone (410) 224-1133

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

202 Coursevall Dr
Ste 101
Centreville, MD 21617
Phone (410) 758-3303

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

Interoperability endpoints

  • Direct secure messaging: kjensen167069@direct.aahs.org

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1326866757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "677-204-7212",
            "fax_number": "443-481-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY STE G50",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013067",
            "telephone_number": "443-481-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013773",
            "country_code": "US",
            "telephone_number": "443-481-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Coursevall Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MD",
            "postal_code": "216172805",
            "country_code": "US",
            "telephone_number": "443-481-4400",
            "fax_number": "410-573-1097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Medical Pkwy Ste 309",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013745",
            "country_code": "US",
            "telephone_number": "410-224-1133",
            "fax_number": "410-266-1639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KAITLYN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "MD",
            "license": "R239348",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.