Individual provider Active NPI

Jasmine Allen, CRNP-FNP

  • Family Nurse Practitioner
  • Reisterstown, MD
National Provider Identifier
1700624939
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R202310 Issued in MD
Practice address
15 Caraway Rd
Reisterstown, MD 21136-2506
Phone
(410) 361-0904
NPI assigned
Jul 20, 2024
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 R202310 MD Primary

Addresses

Primary practice location

15 Caraway Rd
Reisterstown, MD 21136-2506

Mailing address

15 Caraway Rd
Reisterstown, MD 21136-2506

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
I20250103000055 MD Practitioner - Nurse Practitioner 1153858139 Reassigns benefits to 1 organization
I20250103000126 DC Practitioner - Nurse Practitioner 1153858139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R202310MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CRH MD Management LLC CurrentSince Dec 18, 2024 Accepting new patients
CRH MD Management, LLC CurrentSince Dec 18, 2024 Accepting new patients
CRH MD Management LLC CurrentSince Dec 18, 2024 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

Organizations & group practices 3

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": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1700624939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CARAWAY RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CARAWAY RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362506",
            "telephone_number": "410-361-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JASMINE",
        "credential": "CRNP-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-20",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R202310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.