Individual provider Active NPI

Jessica Aimee Greenberg, NP

  • Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1346886249
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AC002866 Issued in MD
Practice address
12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111
Phone
(240) 686-2300
NPI assigned
Nov 26, 2019
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AC002866 MD Primary

Addresses

Primary practice location

12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111

Mailing address

418 London St Apt 3
Portsmouth, VA 23704-2547
Phone (323) 253-3831

Other practice location 1

418 London St Apt 3
Portsmouth, VA 23704-2547
Phone (323) 253-3831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20200110002099 DC Practitioner - Nurse Practitioner 6103251657 Reassigns benefits to 2 organizations
I20200512000015 MD Practitioner - Nurse Practitioner 6103251657 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026

19777 Frederick Rd
Germantown, MD 20876-1307
Phone (240) 388-9314

350 Fortune Ter
Suite D
Potomac, MD 20854-2910
Phone (443) 584-5323

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

882 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone (301) 216-1245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC002866MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 1, 2019 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 1, 2019 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

20 University Blvd E
Silver Spring, MD 20901
Phone (240) 863-2720

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

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": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1346886249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 LONDON ST APT 3",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042547",
            "telephone_number": "323-253-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 MILESTONE CENTER DR STE 200",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767111",
            "telephone_number": "240-686-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 London St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237042547",
            "country_code": "US",
            "telephone_number": "323-253-3831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JESSICA",
        "middle_name": "AIMEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC002866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.