Individual provider Active NPI

Jennifer M. Rocca-Sexton, PA-C

  • Physician Assistant
  • Arnold, MD
National Provider Identifier
1336131200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002634 Issued in MD
Practice address
1509 Ritchie Hwy
Arnold, MD 21012-2742
Phone
(410) 757-7600
Fax
(410) 626-8043
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002634 MD Primary

Addresses

Primary practice location

1509 Ritchie Hwy
Arnold, MD 21012-2742

Mailing address

1007 Queen Annes Lace Way
Annapolis, MD 21401-6494
Phone (410) 266-8225

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000417 MD Practitioner - Physician Assistant 6204859168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002634MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians CurrentSince Apr 1, 2020 Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336131200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 QUEEN ANNES LACE WAY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016494",
            "telephone_number": "410-266-8225",
            "fax_number": "410-729-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 RITCHIE HWY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122742",
            "telephone_number": "410-757-7600",
            "fax_number": "410-626-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCA-SEXTON",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.