Individual provider Active NPI

Catherine Jeans, DNP, CRNP, FNP-C

  • Family Nurse Practitioner
  • Queenstown, MD
National Provider Identifier
1386488286
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R233632 Issued in MD
Practice address
125 Shoreway Dr Ste 120
Queenstown, MD 21658-1681
Phone
(410) 827-4001
NPI assigned
Jun 24, 2024
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 R233632 MD Primary

Addresses

Primary practice location

125 Shoreway Dr Ste 120
Queenstown, MD 21658-1681

Mailing address

7580 Buckingham Blvd Ste 220
Hanover, MD 21076-3210
Phone (410) 729-5100

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
I20240827003768 MD Practitioner - Nurse Practitioner 9436698032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Primary Care Physicians, LLCGroup PAC ID 8729981832, 101 clinicians

Practice addresses (Care Compare)

125 Shoreway Dr
Suite 120
Queenstown, MD 21658-1681
Phone (410) 827-4001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R233632MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Primary Care Physicians, LLC CurrentSince Aug 15, 2024 Accepting new patients

Locations

7580 Buckingham Blvd
Ste 220
Hanover, MD 21076
Phone (410) 729-5100

125 Shoreway Dr
Ste 120
Queenstown, MD 21658
Phone (410) 643-7800

Organizations & group practices 1

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 5

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1386488286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 BUCKINGHAM BLVD STE 220",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210763210",
            "telephone_number": "410-729-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SHOREWAY DR STE 120",
            "city": "QUEENSTOWN",
            "state": "MD",
            "postal_code": "216581681",
            "telephone_number": "410-827-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANS",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R233632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queenstown, MD

Sources for this page

Verify at the official NPI Registry.