Jessica Jiyoung An, CRNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R222999 Issued in MD

Practice address

111 W High St Ste 314
Elkton, MD 21921-8617

Phone

(410) 620-0545

NPI assigned

Jan 9, 2020

Last updated

Jan 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Union Hospital of Cecil County

  • Internal Medicine Physician
  • Elkton, MD
  • NPI 1124067848

  Family Medicine

  Medicare reassignment NPD
• Union Hospital of Cecil County

  dba Union Audiology Services

  • Audiologist
  • Elkton, MD
  • NPI 1851681647
  NPD

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1790325546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BOW ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST STE 314",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219218617",
            "telephone_number": "410-620-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "JESSICA",
        "middle_name": "JIYOUNG",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R222999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Always There Adult Day Services
• Renee M Amburn
• Amedisys Hospice, L.L.C. (Amedisys Hospice of Greater Chesapeake)
• Amna Medical Center
• Amna Medical Center, LLC
• Bria Anderson, LCSW-C
• John Howard Anderson, LGPC
• Tracy Anderson
• Christina Grace Andrews, MPA, M.ED, CPM
• Angela Coleman NP LLC

• Family Medicine Physician in Elkton, MD
• Providers in Elkton, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.