Jennifer Lynn Nunnelee, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0003229 Issued in MD

Practice address

22911 Jefferson Blvd
Smithsburg, MD 21783-1617

Phone

(301) 824-3343

Fax

(301) 824-6323

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, WV, DC, PA4 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 4

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Dermatology SC 145 clinicians

Meritus Medical Center Inc 730 clinicians

On Site Dermatology of Pennsylvania PLLC 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jnunnelee1114351@meritus.direct-ci.net

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.

• On Site Dermatology of Pennsylvania PLLC

  • Dermatology Physician
  • Lower Gwynedd, PA
  • NPI 1114369873

  PA

  Medicare reassignment Care Compare group
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  MD, WV

  Medicare reassignment Care Compare group
• On Site Dermatology Associates LLC

  • Dermatology Physician
  • Parkville, MD
  • NPI 1306154794

  DC, MD

  Medicare reassignment
• Meritus Medical Center Inc

  • Diagnostic Radiology Physician
  • Hagerstown, MD
  • NPI 1184477911
  Care Compare group
• Meritus Medical Center Inc

  • Nurse Practitioner
  • Hagerstown, MD
  • NPI 1205176393
  Care Compare group
• Meritus Medical Center Inc

  • Community/Retail Pharmacy
  • Hagerstown, MD
  • NPI 1306623616
  Care Compare group
• Meritus Medical Center Inc

  • Community/Retail Pharmacy
  • Hagerstown, MD
  • NPI 1649949439
  Care Compare group
• Meritus Medical Center Inc

  • Rehabilitation Clinic/Center
  • Hagerstown, MD
  • NPI 1659391068
  Care Compare group
• Meritus Medical Center Inc

  • Health Educator
  • Hagerstown, MD
  • NPI 1710642749
  Care Compare group
• Meritus Medical Center Inc

  • General Acute Care Hospital
  • Hagerstown, MD
  • NPI 1942281266
  Care Compare group
• Meritus Medical Center, Inc.

  • Home Health Agency
  • Hagerstown, MD
  • NPI 1942290077
  Care Compare group
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• City Hospital, Inc

  • General Acute Care Hospital
  • Martinsburg, WV
  • NPI 1457389249

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1376524447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22911 JEFFERSON BLVD",
            "city": "SMITHSBURG",
            "state": "MD",
            "postal_code": "217831617",
            "telephone_number": "301-824-3343",
            "fax_number": "301-824-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22911 JEFFERSON BLVD",
            "city": "SMITHSBURG",
            "state": "MD",
            "postal_code": "217831617",
            "telephone_number": "301-824-3343",
            "fax_number": "301-824-6323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Professional Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405945",
            "country_code": "US",
            "telephone_number": "240-707-6920",
            "fax_number": "240-707-6926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 Norristown Rd",
            "address_purpose": "LOCATION",
            "city": "Lower Gwynedd",
            "state": "PA",
            "postal_code": "190022125",
            "country_code": "US",
            "telephone_number": "877-345-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Tavern Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012853",
            "country_code": "US",
            "telephone_number": "304-350-8733",
            "fax_number": "304-350-8655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNNELEE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003229",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Lovejoy, PHARMD
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• Dipti Mohanlal Mistry, MD
• Thomas M Nussear, DDS
• Jason T O'Neal, PHARMD
• Matthew E Paper, D.D.S.
• Bryan Jeffrey Peralta
• Linda Potts, ND,DCRC,RN,MBA,MBE

• All providers in Smithsburg, MD
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.