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JASMINE OPHELIA PEGA CRNP NPI 1083017446


NPI Information

NPI: 1083017446
Provider Name: JASMINE OPHELIA PEGA, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
11110 MEDICAL CAMPUS RD STE 150
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 665-4825
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Jasmine Ophelia Pega, CRNP is a family nurse practitioner in Hagerstown, MD with 10 years of experience. Jasmine Ophelia Pega, CRNP NPI is 1083017446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11110 MEDICAL CAMPUS RD STE 150
HAGERSTOWN, MD
ZIP 21742-755
Phone: (301) 665-4825
Fax: (301) 665-4826

The NPI 1083017446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 9/30/2014 and was last updated on 5/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseR183401MARYLANDNo
2363LF0000XNurse PractitionerFamilyR183401MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.