Individual provider Active NPI

Jennifer Lynne Perry, FNP-BC

  • Family Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1639050107
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R191104 Issued in MD
Practice address
9520 Philadelphia Rd
Rosedale, MD 21237-4106
Phone
(410) 259-6491
NPI assigned
Sep 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R191104 MD Primary

Addresses

Primary practice location

9520 Philadelphia Rd
Rosedale, MD 21237-4106

Mailing address

723 S Macon St
Baltimore, MD 21224-4433
Phone (410) 259-6491

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251204003690 MD Practitioner - Nurse Practitioner 2769975077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baltimore Medical System, Inc.Group PAC ID 5395653455, 86 clinicians

Practice addresses (Care Compare)

5525 Eastern Ave
Suite 301
Baltimore, MD 21224-2796
Phone (410) 558-4804

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R191104MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Medical System, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Baltimore Medical System, Inc. CurrentSince Dec 1, 2025 Accepting new patients

Locations

1000 Stewart Ave
Glen Burnie, MD 21061

9520 Philadelphia Rd
Rosedale, MD 21237
Phone (410) 558-4700

Organizations & group practices 2

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.

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": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1639050107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S MACON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244433",
            "telephone_number": "410-259-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 PHILADELPHIA RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374106",
            "telephone_number": "410-259-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R191104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.