Active NPI
Jessica Kwebetchou
- Nurse Practitioner
- Towson, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R193212
- Practice address
- 6535 N Charles St Ste 500
Towson, MD 21204-5832 - Phone
- (410) 825-5454
- NPI assigned
- Jun 24, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R193212 | MD | Primary |
Addresses
Primary practice location
6535 N Charles St Ste 500
Towson, MD 21204-5832
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (443) 471-5783
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6535 N Charles St
Suite 500
Towson, MD 21204-5832
Phone (410) 825-5454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R193212 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Urology Associates, LLC | Current | Accepting new patients | |
| Chesapeake Urology Associates, LLC | Current | Accepting new patients | |
| Chesapeake Urology Associates LLC | Current | Accepting new patients | |
| Chesapeake Urology Associates, LLC | Past | Accepting new patients |
Locations
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140
1111 Mount Hermon Rd
#A
Salisbury, MD 21804
Phone (410) 546-2133
6535 N Charles St
Ste 500
Towson, MD 21204
Phone (410) 296-4181
Organizations & group practices 4
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.
-
dba Chesapeake Oncology Hematology Associates
- Hematology & Oncology Physician
- Stevensville, MD
- NPI 1467337337
-
- Urology Physician
- Owings Mills, MD
- NPI 1609823004
-
- Urology Physician
- Towson, MD
- NPI 1528883287
-
- Urology Physician
- Seaford, DE
- NPI 1043719123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1811885502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 GRAND CENTRAL AVE STE 220",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174366",
"telephone_number": "443-471-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 N CHARLES ST STE 500",
"city": "TOWSON",
"state": "MD",
"postal_code": "212045832",
"telephone_number": "410-825-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWEBETCHOU",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R193212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.