Individual provider Active NPI

Jennifer Lee Kurman, P.A.

  • Medical Physician Assistant
  • Abingdon, MD
National Provider Identifier
1679757884
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0004432 Issued in MD
Practice address
55 Kensington Pkwy
Abingdon, MD 21009-1851
Phone
(410) 569-5162
NPI assigned
Dec 24, 2007
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0004432 MD Primary

Addresses

Primary practice location

55 Kensington Pkwy
Abingdon, MD 21009-1851

Mailing address

55 Kensington Pkwy
Abingdon, MD 21009-1851
Phone (410) 569-5162

Other names 1

  • Jennifer Lee Penn Former name

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
I20110427000023 MD Practitioner - Physician Assistant 2567647027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Group IV, PC CurrentSince Aug 27, 2017 Accepting new patients
Statcare Group, LLC CurrentSince Jul 2, 2016 Accepting new patients

Locations

1400 Front Ave
Ste 300
Lutherville Timonium, MD 21093

500 Ritchie Hwy
Ste B
Severna Park, MD 21146
Phone (410) 793-1940

1220A E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 296-0018

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1679757884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 KENSINGTON PKWY",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091851",
            "telephone_number": "410-569-5162",
            "fax_number": "410-569-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 KENSINGTON PKWY",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091851",
            "telephone_number": "410-569-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURMAN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2025-08-07",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PENN",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abingdon, MD

Sources for this page

Verify at the official NPI Registry.