Jennifer Margaret Laidley-Kelly, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R143784 Issued in MD

Practice address

2963 Siwanoy Dr
Edgewood, MD 21040-3436

Phone

(410) 917-2792

NPI assigned

Aug 24, 2023

Last updated

Aug 24, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA3 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 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Integrahealth LLCGroup PAC ID 3678911625, shared by 3 NPIs, 47 clinicians

Spiritual HealingGroup PAC ID 7113388802, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Spiritual Healing

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1003502337

  DC

  Medicare reassignment Care Compare group
• Toller Enterprises LLC

  dba Brighter Days Recovery Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533

  DC

  Medicare reassignment Care Compare group
• Fitzgerald Primary Care LLC

  • Primary Care Clinic/Center
  • Baltimore, MD
  • NPI 1902382252
  Medicare reassignment NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1740049568
  Medicare reassignment NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1932968856

  VA

  Medicare reassignment NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1194513234

  DC

  Medicare reassignment
• Fitzgerald Primary Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1033802848
  NPD
• Fayette Leasing Co., LLC

  dba Fayette Health & Rehab Center

  • Skilled Nursing Facility
  • Baltimore, MD
  • NPI 1851578082
  NPD (past)

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1518742949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 SIWANOY DR",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403436",
            "telephone_number": "410-917-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 SIWANOY DR",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403436",
            "telephone_number": "410-917-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIDLEY-KELLY",
        "first_name": "JENNIFER",
        "middle_name": "MARGARET",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R143784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harinder Kaur
• Keyese Home Care LLC
• Lauren E Kim
• Hanna Wacheke Kirugu
• Sanjeevani Takemalker Kulkarni, MD
• Avery Langsner, CAC-AD
• Mary Jo Lanphear, RN
• Lauer Vision (Sterling Optical)
• Jazma Lee-Coates, LMSW
• Celissa Florence Lee-Edwards, LPN

• Family Nurse Practitioner in Edgewood, MD
• Providers in Edgewood, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.