Individual provider Active NPI

Jessica Lanatte Ward, CRNP-F

  • Family Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1407212715
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R183797 Issued in MD
Practice address
1600 Crain Hwy S
Suite 301
Glen Burnie, MD 21061-5577
Phone
(410) 787-8315
Fax
(410) 787-8316
NPI assigned
Jan 4, 2016
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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 R183797 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S
Suite 301
Glen Burnie, MD 21061-5577

Mailing address

11350 McCormick Road
Executive Plaza 1, Suite 501
Hunt Valley, MD 21031
Phone (410) 787-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20160323000494 MD Practitioner - Nurse Practitioner 3072810837 Reassigns benefits to 1 organization
I20160323001750 DC Practitioner - Nurse Practitioner 3072810837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Pain Management, LLCGroup PAC ID 0547246555, 38 clinicians

Practice addresses (Care Compare)

1600 Crain S Hwy 301
Glen Burnie, MD 21061-6446
Phone (410) 787-8315

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pain Management, LLC CurrentSince Jan 10, 2017 Accepting new patients
Center for Pain Management, LLC Past Accepting new patients

Locations

510 Upper Chesapeake Dr
Ste 415
Bel Air, MD 21014
Phone (443) 643-3000

16900 Science Dr
Ste 100
Bowie, MD 20715
Phone (301) 464-7008

7120 Minstrel Way
Ste 106
Columbia, MD 21045
Phone (410) 290-9191

940 Seton Dr
Ste A
Cumberland, MD 21502
Phone (301) 777-2543

75 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 620-0012

19735 Germantown Rd
Ste 360
Germantown, MD 20874
Phone (301) 528-2810

1600 Crain Hwy S
Ste 301
Glen Burnie, MD 21061
Phone (410) 760-1400

1600 Crain Hwy S
Ste 301A
Glen Burnie, MD 21061

1150 Professional Ct
Ste B
Hagerstown, MD 21740
Phone (301) 797-4901

1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

1838 Greene Tree Rd
Ste 150
Pikesville, MD 21208
Phone (301) 881-7246

11921 Rockville Pike
Ste 505
Rockville, MD 20852
Phone (301) 881-7246

Interoperability endpoints

  • Direct secure messaging: jward@treatingpain.emadirect.md

Organizations & group practices 2

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": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1407212715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK ROAD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-787-8315",
            "fax_number": "410-787-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 301",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-787-8315",
            "fax_number": "410-787-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JESSICA",
        "middle_name": "LANATTE",
        "credential": "CRNP-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R183797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.