Individual provider Active NPI

Jill Marie Dephillip, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MD
National Provider Identifier
1467159871
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R201232 Issued in MD
Practice address
813 Chesapeake Dr Ste 1
Cambridge, MD 21613-9405
Phone
(410) 221-2266
Fax
(410) 221-2878
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R201232 MD Primary

Addresses

Primary practice location

813 Chesapeake Dr Ste 1
Cambridge, MD 21613-9405

Mailing address

813 Chesapeake Dr Ste 1
Cambridge, MD 21613-9405
Phone (410) 221-2266

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
I20230303002379 MD Practitioner - Nurse Practitioner 5193198620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshy Hope Family Services, LLCGroup PAC ID 6800840703, 8 clinicians

Practice addresses (Care Compare)

813 Chesapeake Dr
Suite 1
Cambridge, MD 21613-9405
Phone (410) 221-2266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R201232MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planting Seeds Behavioral Health Psychiatric/Mental Health Current Accepting new patients
Marshy Hope Family Services, LLC CurrentSince Feb 16, 2023 Accepting new patients
Planting Seeds Behavioral Health LLC Current Accepting new patients

Locations

813 Chesapeake Dr
Ste 1
Cambridge, MD 21613
Phone (410) 221-2266

Interoperability endpoints

  • Direct secure messaging: marshyhopefamilyservices.jillwillis@143058.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1467159871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 CHESAPEAKE DR STE 1",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139405",
            "telephone_number": "410-221-2266",
            "fax_number": "410-221-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 CHESAPEAKE DR STE 1",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139405",
            "telephone_number": "410-221-2266",
            "fax_number": "410-221-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPHILLIP",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R201232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.