Individual provider Active NPI

Jordan Schmitter, PA-C

  • Physician Assistant
  • Lutherville, MD
National Provider Identifier
1699143222
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C05902 Issued in MD
Practice address
1400 Front Ave Ste 305
Lutherville, MD 21093-5364
Phone
(410) 696-5013
Fax
(410) 696-5799
NPI assigned
Sep 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C05902 MD Primary

Addresses

Primary practice location

1400 Front Ave Ste 305
Lutherville, MD 21093-5364

Mailing address

1400 Front Ave Ste 305
Lutherville, MD 21093-5364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20151203002764 MD Practitioner - Physician Assistant 6901106582 Reassigns benefits to 3 organizations
I20171211000637 DC Practitioner - Physician Assistant 6901106582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elm Psychological and Coaching ServicesGroup PAC ID 1153710389, 3 clinicians

Practice addresses (Care Compare)

1400 Front Ave
Suite 305
Lutherville, MD 21093-5364
Phone (410) 734-2978

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C05902MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Mar 2, 2017 Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Oct 19, 2015 Accepting new patients
MNR Industries LLC Current Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Oct 19, 2015 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
MNR Industries, LLC CurrentSince Mar 2, 2017 Accepting new patients
MNR Industries, LLC CurrentSince Oct 7, 2017 Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

300 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4940

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

Organizations & group practices 11

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1699143222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE STE 305",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935364",
            "fax_number": "410-696-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE STE 305",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935364",
            "telephone_number": "410-696-5013",
            "fax_number": "410-696-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITTER",
        "first_name": "JORDAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C05902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.