JOCELYN SAN MATEO
NPI 1063765188
Nurse Practitioner in Baltimore, MD

Active since October 26, 2012
624 N BROADWAY, #201, BALTIMORE, MD 21205(410) 935-4306 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jocelyn San Mateo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOCELYN SAN MATEO (NPI 1063765188) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R165351) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1063765188
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJOCELYN SAN MATEO
Location Address624 N BROADWAY, #201Baltimore, MD 21205-1900
Mailing Address624 N Broadway, #201Baltimore, MD 21205-1900
Sole ProprietorNo
Enumeration DateOctober 26, 2012
NPI 1063765188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MD · R165351
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
624 N BROADWAY, Baltimore, MD 21205

Other Identifiers 1

Medicaid520595110MD

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
624 N BROADWAY, ROOM 853
BALTIMORE, MD 21205
Genetic Counselor, MS
624 N BROADWAY, ROOM 750
BALTIMORE, MD 21205
Specialist
624 N BROADWAY, ROOM 501
BALTIMORE, MD 21205
Counselor (Professional)
624 N BROADWAY
BALTIMORE, MD 21205
Internal Medicine (Infectious Disease)
624 N BROADWAY, HAMPTON HOUSE RM 249
BALTIMORE, MD 21205
Nurse Practitioner (Family)
624 N BROADWAY
BALTIMORE, MD 21205
Internal Medicine
624 N BROADWAY, ROOM 351
BALTIMORE, MD 21205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jocelyn San Mateo's NPI number?

The NPI number for Jocelyn San Mateo is 1063765188. It was assigned to this individual provider in the NPPES registry on October 26, 2012.

Where is Jocelyn San Mateo located?

Jocelyn San Mateo practices at 624 N Broadway #201, Baltimore, MD 21205. The listed phone number is (410) 935-4306.

What is Jocelyn San Mateo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jocelyn San Mateo was last updated on October 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.