JENNIFER ELIZABETH BIVENS PA-C
NPI 1306308937
Pediatrics - Neonatal-Perinatal Medicine in Baltimore, MD

Q: What is Jennifer Bivens's NPI number?

The NPI number for Jennifer Bivens is 1306308937. It was assigned to this individual provider in the NPPES registry on April 2, 2019. The provider is also known as Jennifer Elizabeth Harold Pa-C.

Q: What is Jennifer Bivens's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Bivens was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since April 02, 2019PECOS Enrolled

4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0395 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2020, Jun 11, 2019, Apr 2, 2019 (3 updates tracked since 2019).

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About Jennifer Elizabeth Bivens Pa-c NPPES

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

JENNIFER ELIZABETH BIVENS PA-C (NPI 1306308937) is an individual neonatal-perinatal medicine provider in Baltimore, Maryland, licensed in Pennsylvania (50.0055794RX) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306308937

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameJENNIFER ELIZABETH BIVENSCredential: PA-C

Location Address4940 EASTERN AVEBaltimore, MD 21224-2735

Mailing Address4940 Eastern AveBaltimore, MD 21224-2735 · (410) 550-0395

Phone(410) 550-0395

Sole ProprietorNo

Enumeration DateApril 2, 2019

Last NPPES UpdateAugust 26, 20203 updates tracked since enumeration

NPPES CertifiedAugust 26, 2020

✔ NPI 1306308937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in PA · 50.0055794RX

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

4940 EASTERN AVE, Baltimore, MD 21224

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Other Names 1

Former Name (1)Jennifer Elizabeth Harold Pa-c

Other Identifiers 1

Other1152951PA · Nccpa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Elizabeth Bivens Pa-c 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.

Other Providers at the Same Location NPPES 20

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

DR. SUSRUTHA KOTWAL MD

Internal Medicine

4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224

Baltimore City (410) 550-5018

DR. SAMANTHA A WOLFE MD

Otolaryngology