Individual provider Active NPI

Jennifer Marie-Spelta Snead, DNP, CRNP

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1548820475
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R172758 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(443) 532-1143
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R172758 MD
Acute Care Nurse Practitioner 363LA2100X R172758 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

312 Hazy Grove BND
Millersville, MD 21108-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200103001003 MD Practitioner - Nurse Practitioner 2961836762 Reassigns benefits to 4 organizations
I20260511001807 DC Practitioner - Nurse Practitioner 2961836762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians
SNF Physiatry Services MD LLCGroup PAC ID 1052837655, 15 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

400 E Pratt St
FL 8
Baltimore, MD 21202-3180

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R172758MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Orthopaedic Associates P a CurrentSince Nov 11, 2019 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
University of Maryland Orthopaedic Associates PA CurrentSince Nov 11, 2019 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Aug 7, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 6, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 6, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Luminis Health Anne Arundel Medical Center, Inc. Past Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

110 S Paca St
#38
Baltimore, MD 21201

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1548820475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 HAZY GROVE BND",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "443-532-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEAD",
        "first_name": "JENNIFER",
        "middle_name": "MARIE-SPELTA",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R172758",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R172758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.