Individual provider Active NPI

Sara Jacobson, CRNP

  • Family Nurse Practitioner
  • Towson, MD
National Provider Identifier
1669064887
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R223165 Issued in MD
Practice address
531 Stevenson LN
Towson, MD 21286-7607
Phone
(410) 499-5629
NPI assigned
Feb 9, 2021
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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 R223165 MD Primary

Addresses

Primary practice location

531 Stevenson LN
Towson, MD 21286-7607

Mailing address

4800 Coyle Rd Apt 510
Owings Mills, MD 21117-5160
Phone (410) 499-5629

Other practice location 1

4700 Ashwood Dr Ste 200
Blue Ash, OH 45241-2424
Phone (800) 989-7337

Other practice location 2

1217 W Fayette St
Baltimore, MD 21223-1938
Phone (410) 499-5629

Other practice location 3

2525 W Belvedere Ave
Baltimore, MD 21215-5203
Phone (410) 499-5629

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
I20210708002730 MD Practitioner - Nurse Practitioner 4587066865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
53.9
Promoting interoperability
99
Improvement activities
40
Cost
71.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical First P.a. CurrentSince Jul 12, 2023 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Oct 17, 2022 Accepting new patients

Locations

1217 W Fayette St
Baltimore, MD 21223
Phone (410) 727-3947

4669 Falls Rd
Baltimore, MD 21209
Phone (410) 662-8606

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

8909 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 415-5600

515 Brightfield Rd
Timonium, MD 21093
Phone (410) 296-1990

531 Stevenson Ln
Towson, MD 21286
Phone (410) 823-5310

L2540 Maryland
Columbus, OH 43260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1669064887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 COYLE RD APT 510",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175160",
            "telephone_number": "410-499-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 STEVENSON LN",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212867607",
            "telephone_number": "410-499-5629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Ashwood Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452412424",
            "country_code": "US",
            "telephone_number": "800-989-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1217 W Fayette St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212231938",
            "country_code": "US",
            "telephone_number": "410-499-5629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155203",
            "country_code": "US",
            "telephone_number": "410-499-5629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "SARA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R223165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.