Individual provider Active NPI

Jessica Lynn Krummel, N.P.

  • Women's Health Nurse Practitioner
  • Elkton, MD
National Provider Identifier
1629338637
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R152415 Issued in MD
Practice address
137 W High St Ste 3B
Elkton, MD 21921-8606
Phone
(443) 245-7377
Fax
(410) 620-3083
NPI assigned
May 23, 2012
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X LH-0000198 DE
Women's Health Nurse Practitioner 363LW0102X R152415 MD Primary

Addresses

Primary practice location

137 W High St Ste 3B
Elkton, MD 21921-8606

Mailing address

137 W High St Ste 3B
Elkton, MD 21921-8606
Phone (443) 245-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140411000343 MD Practitioner - Nurse Practitioner 2567694250 Reassigns benefits to 2 organizations
I20230802001834 DE Practitioner - Nurse Practitioner 2567694250 Reassigns benefits to 1 organization
I20240313001143 SC Practitioner - Nurse Practitioner 2567694250

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

137 W High St
Union OBGYN Suite 3B
Elkton, MD 21921-8606
Phone (443) 245-7377

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LH-0000198DEMDWomen's Health Nurse Practitioner
R152415MDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 23, 2018 Accepting new patients
Union Hospital of Cecil County CurrentSince Sep 1, 2019 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2023 Accepting new patients
Union Hospital of Cecil County CurrentSince Sep 1, 2019 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2023 Accepting new patients
Union Hospital of Cecil County Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 1900
Newark, DE 19718
Phone (302) 733-6510

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

137 W High St
Ste 3B
Elkton, MD 21921
Phone (410) 620-0257

Organizations & group practices 8

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 1

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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1629338637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W HIGH ST STE 3B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219218606",
            "telephone_number": "443-245-7377",
            "fax_number": "410-620-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W HIGH ST STE 3B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219218606",
            "telephone_number": "443-245-7377",
            "fax_number": "410-620-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMMEL",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DE",
            "license": "LH-0000198",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R152415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.