JAKARTA A MABREY CRNP-FAMILY
NPI 1366772964
Nurse Practitioner - Family in Elkridge, MD

Active since January 04, 2010PECOS EnrolledAccepts Medicare Assignment
6095 MARSHALEE DR, STE 100, ELKRIDGE, MD 21075(443) 838-8891 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jakarta A Mabrey Crnp-family NPPES

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

JAKARTA A MABREY CRNP-FAMILY (NPI 1366772964) is an individual family provider in Elkridge, Maryland, licensed in Maryland (R130549) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1366772964
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAKARTA A MABREYCredential: CRNP-FAMILY
Location Address6095 MARSHALEE DR, STE 100Elkridge, MD 21075-6053
Mailing Address1240 Gittings AveBaltimore, MD 21239-1720 · (443) 838-8891
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 4, 2010
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
NPI 1366772964 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 · R130549
6095 MARSHALEE DR, Elkridge, MD 21075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jakarta A Mabrey Crnp-family is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183750474
PECOS Enrollment IDI20100325000565
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,938 services136 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
483 services58 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
372 services100 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21075 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier11 claims325 services$6.29 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier14 claims519 services$7.06 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier21 claims775 services$0.92 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6220
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims360 services$2.49 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier11 claims325 services$3.25 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims422 services$4.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Adult Health)
6095 MARSHALEE DR
ELKRIDGE, MD 21075
Nurse Practitioner (Primary Care)
6095 MARSHALEE DR
ELKRIDGE, MD 21075
Nurse Practitioner (Primary Care)
6095 MARSHALEE DR, UNITED HEALTH GROUP/OPTUM
ELKRIDGE, MD 21075
Nurse Practitioner (Family)
6095 MARSHALEE DR, SUITE 100
ELKRIDGE, MD 21075
Nurse Practitioner (Family)
6095 MARSHALEE DR
ELKRIDGE, MD 21075
Nurse Practitioner (Gerontology)
6095 MARSHALEE DR
ELKRIDGE, MD 21075
Hospice Care, Community Based
6095 MARSHALEE DR
ELKRIDGE, MD 21075
Nurse Practitioner (Family)
6095 MARSHALEE DR
ELKRIDGE, MD 21075

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 Jakarta Mabrey's NPI number?

The NPI number for Jakarta Mabrey is 1366772964. It was assigned to this individual provider in the NPPES registry on January 4, 2010.

Where is Jakarta Mabrey located?

Jakarta Mabrey practices at 6095 Marshalee Dr Ste 100, Elkridge, MD 21075. The listed phone number is (443) 838-8891.

What is Jakarta Mabrey's specialty?

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

Is Jakarta Mabrey enrolled in Medicare?

Yes. Jakarta Mabrey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jakarta Mabrey was last updated on February 22, 2021. 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.