Individual provider Active NPI

Jennifer R Sigwalt, CRNP

  • Primary Care Nurse Practitioner
  • Delmar, MD
National Provider Identifier
1356115158
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R217536 Issued in MD
Practice address
8946 Wood Creek Pkwy
Delmar, MD 21875-2449
Phone
(410) 845-1436
NPI assigned
Nov 13, 2023
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R217536 MD Primary

Addresses

Primary practice location

8946 Wood Creek Pkwy
Delmar, MD 21875-2449

Mailing address

8946 Wood Creek Pkwy
Delmar, MD 21875-2449
Phone (410) 845-1436

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
I20240410002602 MD Order and Referring Only - Nurse Practitioner 3274971197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R217536MDMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jennifer.sigwalt.1@28492.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1356115158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8946 WOOD CREEK PKWY",
            "city": "DELMAR",
            "state": "MD",
            "postal_code": "218752449",
            "telephone_number": "410-845-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8946 WOOD CREEK PKWY",
            "city": "DELMAR",
            "state": "MD",
            "postal_code": "218752449",
            "telephone_number": "410-845-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGWALT",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R217536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, MD

Sources for this page

Verify at the official NPI Registry.