Individual provider Active NPI

Jasmine Maria Kretzer, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1720564818
Registry record updated Aug 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07180353 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201
Phone
(410) 328-8667
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2018

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 F07180353 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201

Mailing address

22 S Greene St
Baltimore, MD 21201-1590
Phone (419) 328-9595

Other identifiers 1

IdentifierTypeStateIssuer
R201248OtherMDN/A

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
I20180921000389 MD Practitioner - Nurse Practitioner 1759632300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 706-5181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07180353MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatric Associates, PA Current Accepting new patients
University of Maryland Pediatric Assoc PA CurrentSince Jul 1, 2019 Accepting new patients
University of Maryland Midtown Health Inc CurrentSince Aug 1, 2018 Accepting new patients
University of Maryland Pediatric Associates, PA CurrentSince Jul 1, 2019 Accepting new patients
University of Maryland Emergency Medicine Associates, PA CurrentSince Aug 5, 2018 Accepting new patients

Locations

22 S Greene St
Fl 5
Baltimore, MD 21201
Phone (410) 328-5887

22 S Greene St
#S6
Baltimore, MD 21201
Phone (667) 214-1916

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
#6
Baltimore, MD 21201
Phone (410) 328-5297

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

22 S Greene St
#N5W40
Baltimore, MD 21201
Phone (410) 328-6749

16 S Eutaw St
Fl 3
Baltimore, MD 21201
Phone (410) 328-4448

105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387

827 Linden Ave
Fl 2
Baltimore, MD 21201
Phone (443) 682-6800

510 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (667) 214-2400

627 Race St
Cambridge, MD 21613
Phone (410) 228-3223

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12501 Willowbrook Rd
Fl 3
Cumberland, MD 21502
Phone (240) 964-8515

350 Montevue Ln
Frederick, MD 21702
Phone (301) 600-3102

7556 Teague Rd
Ste 450
Hanover, MD 21076
Phone (410) 553-2900

7556 Teague Rd
Ste 420
Hanover, MD 21076
Phone (410) 328-6749

1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475

Interoperability endpoints

  • Direct secure messaging: jnoronha298244@direct.umm.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1720564818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011590",
            "telephone_number": "419-328-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZER",
        "first_name": "JASMINE",
        "middle_name": "MARIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F07180353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "R201248",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.