Individual provider Active NPI

Jacqueline Hearn, CRNP

  • Adult Health Nurse Practitioner
  • Westminster, MD
National Provider Identifier
1942475306
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R069707 Issued in MD
Practice address
688C Poole Rd
Westminster, MD 21157-6003
Phone
(410) 857-8202
Fax
(410) 857-8205
NPI assigned
Apr 28, 2008
Last updated
Sep 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R069707 MD Primary

Addresses

Primary practice location

688C Poole Rd
Westminster, MD 21157-6003

Mailing address

3525 Halter Rd
Westminster, MD 21158-1901
Phone (410) 857-8202

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
I20040927000166 MD Practitioner - Nurse Practitioner 0244209328 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Physician Partners LLCGroup PAC ID 8224353891, 36 clinicians

Practice addresses (Care Compare)

26757 Crooked Oak LN
Hebron, MD 21830-1232
Phone (410) 548-2343

Merit-based Incentive Payment System (MIPS)

Final score
46.78 of 100Reported as apm
Quality
33.56
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R069707MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Hollow Health PC CurrentSince Sep 30, 2025 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Jul 1, 2016 Accepting new patients
Post Acute Physician Partners, LLC CurrentSince Aug 1, 2018 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Jul 1, 2016 Accepting new patients
John W. Middleton, MD Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Just Heart Cardiovascular Group Inc. Past Accepting new patients
Family Medical Associates,LLC Past Accepting new patients

Locations

2434 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-2246

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

688 Poole Rd
Westminster, MD 21157
Phone (410) 857-8202

688 Poole Rd
Ste C
Westminster, MD 21157
Phone (410) 552-4202

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6661/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/9750/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1942475306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 HALTER RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211581901",
            "telephone_number": "410-857-8202",
            "fax_number": "410-857-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688C POOLE RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576003",
            "telephone_number": "410-857-8202",
            "fax_number": "410-857-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARN",
        "first_name": "JACQUELINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R069707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.