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MISS JENNIFER LACEY PANTOJA NP
NPI 1285093047
Nurse Practitioner - Family in Frederick, MD

Active since February 22, 2016PECOS Enrolled
61 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702(240) 215-0454 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2022, Feb 14, 2019, Feb 22, 2016 (3 updates tracked since 2016).

About Miss Jennifer Lacey Pantoja Np NPPES

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

MISS JENNIFER LACEY PANTOJA NP (NPI 1285093047) is an individual family provider in Frederick, Maryland, licensed in Maryland (R218266) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285093047
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS JENNIFER LACEY PANTOJACredential: NP
Location Address61 THOMAS JOHNSON DR STE BFrederick, MD 21702-4301
Mailing Address20805 Fairway View DrGaithersburg, MD 20882-1841 · (434) 610-9811
Phone(240) 215-0454
Sole ProprietorNo
Enumeration DateFebruary 22, 2016
Last NPPES UpdateAugust 26, 20243 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1285093047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R218266
61 THOMAS JOHNSON DR STE B, Frederick, MD 21702
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Other Names 1

Former Name (1)Jennifer Lacey Hussell Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jennifer Lacey Pantoja Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jennifer Pantoja's NPI number?

The NPI number for Jennifer Pantoja is 1285093047. It was assigned to this individual provider in the NPPES registry on February 22, 2016. The provider is also known as Jennifer Lacey Hussell Np.

Where is Jennifer Pantoja located?

Jennifer Pantoja practices at 61 Thomas Johnson Dr Ste B, Frederick, MD 21702. The listed phone number is (240) 215-0454.

What is Jennifer Pantoja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Pantoja enrolled in Medicare?

Yes. Jennifer Pantoja is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Pantoja was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.