Ryan David Jetton, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3333 N Calvert St Ste 600
Baltimore, MD 21218-6504

Phone

(410) 467-7665

Fax

(410) 467-7746

NPI assigned

Sep 21, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Physician Assistant

Education

University of Maryland School of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Chesapeake Urology Associates, LLC

  • Hematology & Oncology Physician
  • Stevensville, MD
  • NPI 1467337337
  Medicare reassignment Care Compare group
• Chesapeake Urology Associates LLC

  • Urology Physician
  • Owings Mills, MD
  • NPI 1609823004
  NPD
• Chesapeake Urology Associates, LLC

  • Hematology & Oncology Physician
  • Glen Burnie, MD
  • NPI 1518842483
  NPD

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1508683517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HELM CT",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212861737",
            "telephone_number": "949-400-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST STE 600",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186504",
            "telephone_number": "410-467-7665",
            "fax_number": "410-467-7746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 W Fayette St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011756",
            "country_code": "US",
            "telephone_number": "410-706-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JETTON",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-21",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jesada, CRNP-A
• Rebecca Hope Jessel, MD
• Jessica Quinones, LLC
• Vanessa Jester
• Chelsea Jeter
• Jean Jeudy Jr., M.D.
• Sara Ingrid Jeurling, MD
• Jewels School, Inc.
• Jewels Therapy Clinic, Inc.
• Jewels Therapy Clinic, Inc.

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.