Jamie Elizabeth Matlock, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C06695 Issued in MD

Practice address

1413 Madison Park Dr FL 2
Glen Burnie, MD 21061-5613

Phone

(410) 691-3571

NPI assigned

Aug 28, 2017

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

Other identifiers 1

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Orthopaedic and Musculoskeletal Center, LLCGroup PAC ID 7315123890, 3 clinicians

Umms Ambulatory Care LLCGroup PAC ID 8426461427, 53 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.31 of 100Reported as individual

Quality

95

Promoting interoperability

78

Improvement activities

40

Cost

74.38

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmatlock506375@direct.umm.edu

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.

• Umms Ambulatory Care LLC

  dba University of Maryland Urgent Care-Denton

  • Urgent Care Clinic/Center
  • Denton, MD
  • NPI 1487251997
  Medicare reassignment Care Compare group NPD
• Elite Orthopaedic & Musculoskeletal Center, LLC

  • Orthopaedic Surgery Physician
  • Glen Burnie, MD
  • NPI 1962709170
  Medicare reassignment Care Compare group
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment
• Umms Ambulatory Care LLC

  dba University of Maryland Urgent Care-Aberdeen

  • Urgent Care Clinic/Center
  • Aberdeen, MD
  • NPI 1548867054
  NPD
• Umms Ambulatory Care LLC

  dba University of Maryland Urgent Care- Glen Burnie

  • Urgent Care Clinic/Center
  • Glen Burnie, MD
  • NPI 1801651674
  NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1578080719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 MADISON PARK DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615613",
            "telephone_number": "410-691-3571",
            "fax_number": "410-691-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 MADISON PARK DR FL 2",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615613",
            "telephone_number": "410-691-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "JAMIE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777033200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marylyn Mason, RN
• Justin Martin Massey, PSY.D.
• Laura Rebeca Mata Lopez, NP
• Denny Paul Mathew, MBBS
• Marsha Mathieu, MA
• Tiffany Anne Matonak, PA-C
• Melissa Matthew
• Michelle Matthews, RN
• Prasad Mattupalli, RPH
• Alice Maung

• Physician Assistant in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.