Active NPI
Jocelyn Datud Glister, CRNA
- Certified Registered Nurse Anesthetist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R184280
- Practice address
- 4940 Eastern Ave
Buillding a, Room 588
Baltimore, MD 21224-2735 - Phone
- (410) 550-0942
- NPI assigned
- Jun 30, 2017
- Last updated
- Jul 7, 2020
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R184280 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Ave
Buillding a, Room 588
Baltimore, MD 21224-2735
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423
Other names 1
- Jocelyn Manalac Datud
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Prince Frederick Blvd
Prince Frederick, MD 20678-3145
Phone (410) 535-2270
8905 Fairview Rd
Silver Spring, MD 20910-4150
Phone (888) 554-0631
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R184280 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia Maryland LLC | Current | Accepting new patients | |
| Arturo Betancourt, M.D., P.a. | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Arturo Betancourt, M.D., P.a. | Current | Accepting new patients | |
| Anesthesia Company, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients |
Locations
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
700 Melvin Ave
Ste 7A
Annapolis, MD 21401
Phone (240) 766-2734
4940 Eastern Ave
Bldg A
Baltimore, MD 21224
Phone (410) 550-0409
600 N Wolfe St
Baltimore, MD 21287
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
200 Hospital Dr
Ste 600
Glen Burnie, MD 21061
Phone (410) 766-3937
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631
6701 N Charles St
#4226
Towson, MD 21204
Phone (410) 296-4616
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1871548156
DC, Nurse Anesthetist, Certified Registered
-
dba Baltimore Washington Eye Center
- Ophthalmology Physician
- Glen Burnie, MD
- NPI 1396958153
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
dba Baltimore Washington Eye Center
- Eyewear Supplier
- Glen Burnie, MD
- NPI 1326043969
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba Jhu - Emergency Medicine
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1386631810
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conexus Laboratories Inc.
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
dba Doctors Community Hospital
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1821519745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR STE 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE",
"address_2": "BUILLDING A, ROOM 588",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242735",
"telephone_number": "410-550-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLISTER",
"first_name": "JOCELYN",
"middle_name": "DATUD",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R184280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOCELYN",
"last_name": "DATUD",
"middle_name": "MANALAC",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.