Jennifer Anne Baez, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Washington D.C., DC
NPI 1710027784 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710027784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 0024167184 (VA)
- Practice address
- 111 Michigan Ave., NW
Children'S Hospital
Washington D.C., DC 20010 - Phone
- (202) 884-5000
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070706000334 | DC | Practitioner - Nurse Practitioner | 2668572579 | Reassigns benefits to 2 organizations |
| I20131017000827 | VA | Practitioner - Nurse Practitioner | 2668572579 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concussion and Health Services LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current |
Accepting new patients | |
| Inova Health Care Services | Current |
Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Past |
Accepting new patients | |
| Children'S Hospital | Past | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024167184 | VA | Yes |
Addresses
Primary practice location
111 Michigan Ave., NW
Children'S Hospital
Washington D.C., DC 20010
Mailing address
12603 Builders Rd
Herndon, VA 20170-2924
Phone (703) 709-1326
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All providers in Washington D.C., DC · Pediatric Nurse Practitioner in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.