Individual provider Active NPI

Jessica Adele Vogelsong, PA-C

  • Physician Assistant
  • Owings Mills, MD
National Provider Identifier
1932399219
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0005825 Issued in MD
Practice address
4 Park Center CT
Suite 102
Owings Mills, MD 21117-5611
Phone
(410) 377-8900
Fax
(410) 377-0576
NPI assigned
Aug 1, 2007
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X C0005825 MD Primary

Addresses

Primary practice location

4 Park Center CT
Suite 102
Owings Mills, MD 21117-5611

Mailing address

4 Park Center CT
Suite 102
Owings Mills, MD 21117-5611
Phone (410) 377-8900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.vogelsong.1@9012.direct.athenahealth.com

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
I20150921000844 MD Practitioner - Physician Assistant 9830406073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0005825MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Dec 7, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Dec 7, 2016 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Centers for Advanced Orthopaedics, LLC Past Accepting new patients

Locations

2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

1312 Bellona Ave
Ste 302
Lutherville Timonium, MD 21093
Phone (301) 637-8712

4 Park Center Ct
Ste 102
Owings Mills, MD 21117
Phone (410) 377-3484

Interoperability endpoints

  • Direct secure messaging: 38jvogelsong@cfaortho.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1932399219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER CT",
            "address_2": "SUITE 102",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175611",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER CT",
            "address_2": "SUITE 102",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175611",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGELSONG",
        "first_name": "JESSICA",
        "middle_name": "ADELE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.vogelsong.1@9012.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4 Park Center Ct",
            "address_2": "Suite 102",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211175611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.