Individual provider Active NPI

Lisa A Jeffers, CRNP, CWS

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1366652745
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R168142 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 677-6605
Fax
(410) 677-6616
NPI assigned
May 23, 2007
Last updated
Nov 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R168142 MD Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

9291 Bel Air Dr
Mardela Springs, MD 21837-2106
Phone (410) 251-6983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20090616000011 MD Practitioner - Nurse Practitioner 1052461928 Reassigns benefits to 2 organizations
I20210723001468 DE Practitioner - Nurse Practitioner 1052461928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Maryland LLCGroup PAC ID 2365769833, 6 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 677-6605

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.4 of 100Reported as individual
Quality
70.93
Improvement activities
40
Cost
70.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R168142MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 8, 2012 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 8, 2012 Accepting new patients
Healogics Specialty Physicians of Maryland, LLC CurrentSince Sep 30, 2019 Accepting new patients
Healogics Specialty Physicians of Delaware, LLC CurrentSince Jul 19, 2021 Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

505 Dutchmans Ln
#A
Easton, MD 21601
Phone (410) 224-2020

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1366652745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 BEL AIR DR",
            "city": "MARDELA SPRINGS",
            "state": "MD",
            "postal_code": "218372106",
            "telephone_number": "410-251-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-677-6605",
            "fax_number": "410-677-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNP, CWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R168142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.