NPIMap

Organization Active NPI

Premier NP Clinical Consulting LLC

  • Family Medicine Physician
  • Cumberland, MD
National Provider Identifier
1942133145
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREMIER NP CLINICAL CONSULTING LLC
Practice address
15415 Shamrock Rd SW
Cumberland, MD 21502-5842
Phone
(240) 362-6192
Fax
(240) 362-6192
NPI assigned
Jun 5, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Jennifer Mellott, FNP-CNPI 1538812482
Title
CRNP
Phone
(240) 362-6192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15415 Shamrock Rd SW
Cumberland, MD 21502-5842

Mailing address

15415 Shamrock Rd SW
Cumberland, MD 21502-5842
Phone (240) 362-6192

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1942133145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15415 SHAMROCK RD SW",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025842",
            "telephone_number": "240-362-6192",
            "fax_number": "240-362-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15415 SHAMROCK RD SW",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025842",
            "telephone_number": "240-362-6192",
            "fax_number": "240-362-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NP CLINICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "MELLOTT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "240-362-6192",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.