Amelia Jackson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R193680 Issued in MD

Practice address

300 Hospital Dr Ste 223
Glen Burnie, MD 21061-5707

Phone

(443) 221-2222

NPI assigned

Nov 14, 2013

Last updated

Sep 16, 2026By 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 2

Addresses

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

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health Care for the Homeless, IncGroup PAC ID 1456452382, shared by 3 NPIs, 21 clinicians

Brightwell Health LLCGroup PAC ID 8224437397, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amelia.jackson.1@23840.direct.athenahealth.com
• Direct secure messaging: amelia.jackson.2@23840.direct.athenahealth.com

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.

• Brightwell Health LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1215515408

  Family

  Medicare reassignment Care Compare group NPD
• Health Care for the Homeless, Inc

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1003819665
  NPD (past)
• Health Care for the Homeless, Inc

  dba HCH Baltimore County

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1104150754
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1588094304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 516",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613099",
            "telephone_number": "443-222-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR STE 223",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615707",
            "telephone_number": "443-221-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7310 Ritchie Hwy Ste 516",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613099",
            "country_code": "US",
            "telephone_number": "443-222-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AMELIA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R193680",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R193680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williams Ferguson Itoe
• Ivory Inc
• Ivory Inc
• Stephan Robert Izzi, MD
• Vincent Izzi, M.D.
• Deairra Jackson
• Jasmine Ashley Jackson, RN
• Judy Carlene Jackson, RN
• Lashawnda Jackson, LMSW
• William George Jackson, MD

• Family Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, 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 Sep 16, 2026; 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.