Jennifer Jeanne Osterloh, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R204428 Issued in MD

Practice address

3175 W Ward Rd Ste 200
Dunkirk, MD 20754-3024

Phone

(410) 286-0664

Fax

(410) 286-2834

NPI assigned

Aug 21, 2024

Last updated

Nov 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Andrew T Gergely, MD and Associates, LLCGroup PAC ID 1456323237, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Andrew T Gergely, MD & Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dunkirk, MD
  • NPI 1033134341

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1447083951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 MERIDIAN CT",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207324199",
            "telephone_number": "549-240-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 W WARD RD STE 200",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543024",
            "telephone_number": "410-286-0664",
            "fax_number": "410-286-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERLOH",
        "first_name": "JENNIFER",
        "middle_name": "JEANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R204428",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R204428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula K Newsome, LGPC
• Van Anh Thi Nguyen, O.D.
• Natalie Norton
• Optimal Physical Therapy
• Optimal Physical Therapy and Industrial Rehab Inc
• Immirne Monet Ouwinga, M.D.
• Jared Francis Parsons
• Pediatric Dentistry
• Penuel Behavioral Health Services LLC
• Penuel Behavioral Health Services LLC.

• Psychiatric/Mental Health Nurse Practitioner in Dunkirk, MD
• Providers in Dunkirk, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.