Jennifer Christina Ashley, CRNP
Individual provider Active NPI Adult Health Nurse Practitioner · Phoenix, MD
NPI 1548966013 · NPPES record last updated Feb 7, 2023
Key facts
- NPI
- 1548966013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- R208602 (MD)
- Practice address
- 3346 Paper Mill Rd
Phoenix, MD 21131-1419 - Phone
- (410) 666-4060
- Fax
- (410) 666-4068
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Greater Baltimore Medical Center
Practice addresses (Care Compare)
3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808
6565 N Charles St
Baltimore, MD 21204-6808
6569 N Charles St
Baltimore, MD 21204-5816
6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658
6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123
6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658
6701 N Charles St
Baltamore, MD 21204-6808
6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808
6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131
8600 Lasalle Rd 100 Potomac Bu
GBMC Health Partners Primary Care at Joppa
Towson, MD 21286-2008
Phone (443) 921-4683
Hospital & facility affiliations
- Greater Baltimore Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230405000088 | MD | Practitioner - Nurse Practitioner | 6002281003 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R208602 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GBMC Health Partners at Helping Up Mission, LLC | Current |
Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current |
Accepting new patients | |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current |
Accepting new patients |
Locations
1017 E Baltimore St
Baltimore, MD 21202
Phone (410) 675-7500
3346 Paper Mill Rd
Phoenix, MD 21131
Phone (410) 666-4060
6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196
6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767
Interoperability endpoints
- jashley64716@gbmcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R208602 | MD | Yes |
Addresses
Primary practice location
3346 Paper Mill Rd
Phoenix, MD 21131-1419
Mailing address
3346 Paper Mill Rd
Phoenix, MD 21131-1419
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R208602 | Other | MD | MARYLAND CRNP LICENSE |
Other providers in Phoenix, MD
- Acupuncture at Work LLC
- Diane Dritt Amin
- Ashley Ruocco Therapy, LLC
- Assisting You in Your Home LLC
- Cynthia Dewaters Balog
- Norman W Barton
- Ann Bennett
- Lauren Alexis Blanar
All providers in Phoenix, MD · Adult Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.