Individual provider Active NPI

Jecinta Chinyere Ogbennah, CRNP

  • Gerontology Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1750920179
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
170322 Issued in MD
Practice address
6629 Aaron Mee Way
Baltimore, MD 21237-4337
Phone
(443) 474-6439
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 170322 MD Primary

Addresses

Primary practice location

6629 Aaron Mee Way
Baltimore, MD 21237-4337

Mailing address

6629 Aaron Mee Way
Baltimore, MD 21237-4337
Phone (443) 474-6439

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
I20201123003261 MD Practitioner - Nurse Practitioner 5991116980 Reassigns benefits to 1 organization

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
Maryland Medical First PAGroup PAC ID 1850329715, 26 clinicians

Practice addresses (Care Compare)

8901 Clement Ave
Parkville, MD 21234-2603
Phone (410) 661-4670

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
53.9
Promoting interoperability
99
Improvement activities
40
Cost
71.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170322MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical First P.a. CurrentSince Nov 16, 2020 Accepting new patients

Locations

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1750920179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6629 AARON MEE WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374337",
            "telephone_number": "443-474-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6629 AARON MEE WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374337",
            "telephone_number": "443-474-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBENNAH",
        "first_name": "JECINTA",
        "middle_name": "CHINYERE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "170322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.