Kristen Leigh Jubb, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0004624 Issued in MD

Practice address

2225 Old Emmorton Rd
Bel Air, MD 21015-6129

Phone

(443) 987-6998

NPI assigned

Nov 14, 2011

Sex

Female

Sole proprietor

No

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

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matthew P Mardiney MD PCGroup PAC ID 7911163464, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Matthew P Mardiney MD PC

  • Allergy & Immunology Physician
  • Bel Air, MD
  • NPI 1174881098
  Medicare reassignment Care Compare group
• Frederick Health Hospital Inc

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

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1598042848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 NORTHCLIFF DR",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841812",
            "telephone_number": "443-538-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 OLD EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156129",
            "telephone_number": "443-987-6998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S Clinton St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212245730",
            "country_code": "US",
            "telephone_number": "866-763-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3718 Norrisville Rd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Jarrettsville",
            "state": "MD",
            "postal_code": "210841419",
            "country_code": "US",
            "telephone_number": "410-692-5292",
            "fax_number": "410-557-4256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUBB",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466771900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikolina Jorgenson, RD, RDN
• Joseph Angelo, MD LLC
• Joseph H Seipp III LLC
• Joseph Laponzina DDS PA
• Karen Evon Joyner
• Emily Julian, MA, CCC-SLP
• Munisa Juma, LGPC
• Barbara Knauer Juskus, MS., CCC-SLP
• K & a Psych Associates
• Joseph Kaine, PH.D.

• Medical Physician Assistant in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.