MR. THEO JONES SR. FNP
NPI 1386110518
Nurse Practitioner - Family in Baltimore, MD
About Mr. Theo Jones Sr. Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. THEO JONES SR. FNP (NPI 1386110518) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R214241) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Theo Jones Sr. Fnp 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.
Medicare Billing Reassignments
6Medicare enrollment records show Theo Jones reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21234
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Maryland Medical First PA
- 77 clinicians in this Medicare group
Randallstown, MD 21133
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
- 729 clinicians in this Medicare group
Reisterstown, MD 21136
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 105 clinicians in this Medicare group
Annapolis, MD 21401
- Reassigned Medicare billing, Maryland enrollment
- 73 clinicians in this Medicare group
Largo, MD 20774
- Reassigned Medicare billing, District of Columbia enrollment
- 81 clinicians in this Medicare group
York, PA 17404
- Reassigned Medicare billing, Maryland enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sinai Hospital Of Baltimore
Acute Care Hospitals · Baltimore, MDCarroll Hospital Center
Acute Care Hospitals · Westminster, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theo Jones's NPI number?
The NPI number for Theo Jones is 1386110518. It was assigned to this individual provider in the NPPES registry on October 15, 2018.
Where is Theo Jones located?
Theo Jones practices at 1034 Mcdonogh St, Baltimore, MD 21205. The listed phone number is (443) 825-5545.
What is Theo Jones's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theo Jones enrolled in Medicare?
Yes. Theo Jones 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.
Which organizations bill Medicare for Theo Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theo Jones reassigns Medicare benefits to 6 organizations: Maryland Medical First P.A. (Baltimore, MD), Emergency Medicine Associates PA PC (Randallstown, MD), Crh MD Management LLC (Reisterstown, MD), Mdics At Anne Arundel LLC (Annapolis, MD), Adfinitas Health At Umcap, LLC (Largo, MD) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theo Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Theo Jones affiliated with any hospitals?
According to CMS data, Theo Jones is affiliated with Sinai Hospital Of Baltimore and Carroll Hospital Center.
When was this NPI record last updated?
The NPPES record for Theo Jones was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Theo Jones Sr., FNP · NPI 1386110518
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since October 15, 2018.
## Identity
- **NPI:** 1386110518 (Entity type: Individual)
- **Enumerated:** October 15, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R214241 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1034 MCDONOGH ST, Baltimore, MD 21205-1110
- **Phone:** (443) 825-5545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Maryland Medical First P.A. (NPI 1013005016, Baltimore, MD); Emergency Medicine Associates PA PC (NPI 1043175375, Randallstown, MD); Crh MD Management LLC (NPI 1598435059, Reisterstown, MD); Mdics At Anne Arundel LLC (NPI 1427343664, Annapolis, MD); Adfinitas Health At Umcap, LLC (NPI 1205585940, Largo, MD); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1386110518) · Data from the CMS NPPES public registry.