Jennifer Halley Eisen, MSN FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R183727 Issued in MD

Practice address

10110 Molecular Dr Ste 206
Rockville, MD 20850-7542

Phone

(301) 279-2779

Fax

(301) 279-2767

NPI assigned

Mar 27, 2015

Sex

Female

Sole proprietor

No

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 DC

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Montgomery Medical Associates, P.C.Group PAC ID 1355311713, 6 clinicians

Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
• Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
• Amedisys Home Health Home health agency, Washington, DC, CCN 097024
• Holy Cross Home Care and Hospice Home health agency, Silver Spring, MD, CCN 217030

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.519005
• Direct secure messaging: jeisen@montgomerymedical.gwaydirect.com

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.

• Montgomery Medical Associates, P.C.

  • Specialist
  • Rockville, MD
  • NPI 1760432462

  DC

  Medicare reassignment Care Compare group NPD
• Comprehensive Women'S Health

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1760675086

  DC

  Medicare reassignment NPD
• Suburban/NRH Medical Rehabilitation Inc

  • Rehabilitation Clinic/Center
  • Bethesda, MD
  • NPI 1457354748
  Care Compare group
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Home Health Services Inc

  • Home Health Agency
  • Silver Spring, MD
  • NPI 1598826448
  Care Compare affiliation Name & address match
• Amedisys Home Health of Maryland, LLC

  • Home Health Agency
  • Largo, MD
  • NPI 1831143908
  Care Compare affiliation
• Trinity Home Health Services

  • Home Health Agency
  • Silver Spring, MD
  • NPI 1023071289
  Care Compare affiliation
• Amedisys District of Columbia LLC

  • Home Health Agency
  • Washington, DC
  • NPI 1669426730
  Care Compare affiliation

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1538553532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 206",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507542",
            "telephone_number": "301-279-2779",
            "fax_number": "301-279-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 206",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507542",
            "telephone_number": "301-279-2779",
            "fax_number": "301-279-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEN",
        "first_name": "JENNIFER",
        "middle_name": "HALLEY",
        "credential": "MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "DC",
            "license": "RN1016929",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R183727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohina Ehsan
• Eidelman and Associates Inc
• Gabriel Eidelman, PH.D.
• Larry M. Einbinder, MD
• Robert Mark Eisdorfer, MD
• Janice Eisenberg, MSW, LMSW
• Sarah Rosenberger Eissler, MSN, CPNP
• Stephanie Michelle Eiswert, M.D.
• Alexander K Eitel, MD
• Chinazom Ejingiri

• Family Nurse Practitioner in Rockville, MD
• Providers in Rockville, 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 Apr 18, 2022; 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.