JENNIFER ADDIS PMHNP-BC
NPI 1528500741
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since November 07, 2016PECOS Enrolled
84.77/100
CMS Quality Rating
1308 UNION AVE, BALTIMORE, MD 21211(443) 532-6742 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jennifer Addis Pmhnp-bc NPPES

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

JENNIFER ADDIS PMHNP-BC (NPI 1528500741) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R183689) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528500741
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIFER ADDISCredential: PMHNP-BC
Location Address1308 UNION AVEBaltimore, MD 21211-1903
Mailing Address1308 Union AveBaltimore, MD 21211-1903 · (443) 532-6742
Sole ProprietorNo
Enumeration DateNovember 7, 2016
✔ NPI 1528500741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R183689
1308 UNION AVE, Baltimore, MD 21211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Addis Pmhnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Addis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
6501 N CHARLES ST
Baltimore, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Sheppard Pratt Physicians PA
  • 187 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21211 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.96
Promoting Interoperability77
Improvement Activities40
Cost92.79

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 Addis's NPI number?

The NPI number for Jennifer Addis is 1528500741. It was assigned to this individual provider in the NPPES registry on November 7, 2016.

Where is Jennifer Addis located?

Jennifer Addis practices at 1308 Union Ave, Baltimore, MD 21211. The listed phone number is (443) 532-6742.

What is Jennifer Addis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Addis enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Addis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Addis reassigns Medicare benefits to Sheppard Pratt Physicians, P.A. (Baltimore, MD). The 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 Jennifer Addis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Addis was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.