Active NPI
Jennifer Mary Vandemark, DPM
- Foot & Ankle Surgery Podiatrist
- Glen Mills, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC005881
- Practice address
- 100 Maris Grove Way
Glen Mills, PA 19342-1282 - Phone
- (610) 387-4520
- Fax
- (610) 387-4526
- NPI assigned
- Feb 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC005881 | PA | Primary |
Addresses
Primary practice location
100 Maris Grove Way
Glen Mills, PA 19342-1282
Mailing address
5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (610) 387-4520
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3705064000 | Other | KEYSTONE/PERSONAL CHOICE BCBS | |
| VA2091879 | Other | HIGHMARK BCBS | |
| 27-11888 | Other | EVERCARE | |
| 611455212001 | Other | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Maris Grove Way
Glen Mills, PA 19342-1282
Phone (610) 387-4520
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1368 |
| Removal or shaving of skin growth | 719 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC005881 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson Health Medical Group of Pennsylvania PC | Current | Accepting new patients | |
| Erickson Health Medical Group of Pennsylvania PC | Current | Accepting new patients | |
| Erickson Health Medical Group of Pennsylvania, PC | Current | Accepting new patients |
Locations
5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379
5525 Research Park Dr
Fl 4
Catonsville, MD 21228
Phone (410) 247-5602
100 Maris Grove Way
Glen Mills, PA 19342
Phone (610) 387-4520
10000 Anns Choice Way
Warminster, PA 18974
Phone (215) 443-3801
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Warminster, PA
- NPI 1114947991
-
- Internal Medicine Physician
- Glen Mills, PA
- NPI 1235149477
-
- Durable Medical Equipment & Medical Supplies
- Warminster, PA
- NPI 1730335175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1780853804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 EXECUTIVE DR STE 230",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281762",
"telephone_number": "610-387-4520",
"fax_number": "610-387-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MARIS GROVE WAY",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421282",
"telephone_number": "610-387-4520",
"fax_number": "610-387-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEMARK",
"first_name": "JENNIFER",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC005881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE/PERSONAL CHOICE BCBS",
"identifier": "3705064000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "VA2091879",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "27-11888",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "611455212001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.