Active NPI
Jacqueline Hearn, CRNP
- Adult Health Nurse Practitioner
- Westminster, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R069707
- 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, 2009
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 33.56
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R069707 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Hollow Health PC | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Post Acute Physician Partners, LLC | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | 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
- https://api.platform.athenahealth.com/6661/brand/1/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1710385554
-
- Cardiovascular Disease Physician
- Timonium, MD
- NPI 1174815807
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1003700071
MD
-
- Family Medicine Physician
- Westminster, MD
- NPI 1306829320
-
- Cardiovascular Disease Physician
- Lutherville, MD
- NPI 1740086149
-
dba Carroll Medical Group
- Family Medicine Physician
- Hampstead, MD
- NPI 1548516529
-
- Family Medicine Physician
- Westminster, MD
- NPI 1922014349
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Westminster, MD
- NPI 1316064579
-
- Specialist
- Baltimore, MD
- NPI 1659318152
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.