Active NPI
Samantha Jones, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R204270
- Practice address
- 260 Gateway Dr
Bel Air, MD 21014-4268 - Phone
- (410) 286-1258
- NPI assigned
- Aug 7, 2020
- Last updated
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R204270 | MD | Primary |
Addresses
Primary practice location
260 Gateway Dr
Bel Air, MD 21014-4268
Mailing address
260 Gateway Dr
Bel Air, MD 21014-4268
Phone (410) 286-1258
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1016 Dulaney Valley Rd
Towson, MD 21204-2702
Phone (410) 286-1258
754 N Hickory Ave
Suite B
Bel Air, MD 21014-3042
Phone (410) 286-1258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Legacy LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Advantage Psychiatric Services LLC | Current | Accepting new patients | |
| Advantage Psychiatric Services LLC | Current | Accepting new patients | |
| Wellness Legacy LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
306 W Pulaski Hwy
Elkton, MD 21921
Phone (410) 392-3417
910 Revolution St
Hvre de Grace, MD 21078
Phone (410) 919-9665
5024 Campbell Blvd
Ste A
Nottingham, MD 21236
Phone 4106863629110
7652 Belair Rd
Ste A
Nottingham, MD 21236
Phone (410) 508-0722
1016 Dulaney Valley Rd
Ofc
Towson, MD 21204
Phone (410) 286-1258
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkton, MD
- NPI 1548742554
-
- Clinic/Center
- Havre de Grace, MD
- NPI 1700515236
-
- Psychiatric/Mental Health Nurse Practitioner
- Towson, MD
- NPI 1992433916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1659981264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 GATEWAY DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144268",
"telephone_number": "410-286-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 GATEWAY DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144268",
"telephone_number": "410-286-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SAMANTHA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R204270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.