JENNIFER PULLMANN RN CRNP NPI 1003814997

NPI Information

  • NPI: 1003814997
  • Provider Name: JENNIFER PULLMANN, RN, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25 CROSSROADS DR
    SUITE 205
    OWINGS MILLS, MD
    ZIP 21117
  • Phone: (410) 602-7792

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NPI Details

Jennifer Pullmann, RN, CRNP is a family nurse practitioner in Owings Mills, MD with 24 years of experience. Jennifer Pullmann, RN, CRNP NPI is 1003814997. 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:

25 CROSSROADS DR
SUITE 205
OWINGS MILLS, MD
ZIP 21117-421
Phone: (410) 602-7792
Fax: (410) 602-9889

The NPI 1003814997 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.

  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Dialysis services, 1 physician visit per month (20 years or older) (HCPCS:90962)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)

The enumeration date for this NPI number is 7/13/2005 and was last updated on 9/16/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR164705MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1405248000MEDICAIDMARYLAND
2I695MEDICARE ID-TYPE UNSPECIFIEDMARYLAND
3P60932MEDICARE UPINMARYLAND

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: 3/30/2025

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