ISATA JALLOH NURSE PRACTITIONER
NPI 1912543893
Nurse Practitioner - Family in Hagerstown, MD
About Isata Jalloh Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISATA JALLOH NURSE PRACTITIONER (NPI 1912543893) is an individual family provider in Hagerstown, Maryland, licensed in Maryland (R221446) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Hagerstown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Isata Jalloh Nurse Practitioner 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
8Medicare enrollment records show Isata Jalloh reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hagerstown, MD 21740
- Reassigned Medicare billing, Maryland enrollment
- 11 clinicians in this Medicare group
Lutherville, MD 21093
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Medicare enrollment name: Great Health Medical Group MD, P.C
- 9 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida and West Virginia enrollments
- Medicare enrollment name: Daniel Funsch Jr MD PC
- 124 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida enrollment
- 42 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida, Maryland, Missouri, New Mexico, Pennsylvania and West Virginia enrollments
- 89 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, District of Columbia, Florida, Maryland, New Mexico, Pennsylvania and West Virginia enrollments
- 22 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, New Jersey enrollment
- 79 clinicians in this Medicare group
Miami, FL 33162
- Reassigned Medicare billing, Florida, Maryland, Missouri, New Mexico and West Virginia enrollments
- 115 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 6
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Charleston Area Medical Center
Acute Care Hospitals · Charleston, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21742 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAGERSTOWN, MD 21742
HAGERSTOWN, MD 21742
HAGERSTOWN, MD 21742
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 Isata Jalloh's NPI number?
The NPI number for Isata Jalloh is 1912543893. It was assigned to this individual provider in the NPPES registry on November 26, 2019.
Where is Isata Jalloh located?
Isata Jalloh practices at 11110 Medical Campus Rd Ste 225, Hagerstown, MD 21742. The listed phone number is (301) 665-4721.
What is Isata Jalloh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Isata Jalloh enrolled in Medicare?
Yes. Isata Jalloh 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 Isata Jalloh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Isata Jalloh reassigns Medicare benefits to 8 organizations: Dej Med Practice, LLC (Hagerstown, MD), Great Health Medical Group MD PC (Lutherville, MD), Daniel Funsch Jr, M.D., P.C. (New York, NY), Dr Medical Services PC (New York, NY), Dr Rebman Bh LLC (New York, NY) and 3 more organizations, 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 Isata Jalloh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Isata Jalloh affiliated with any hospitals?
According to CMS data, Isata Jalloh is affiliated with Charleston Area Medical Center.
When was this NPI record last updated?
The NPPES record for Isata Jalloh was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Isata Jalloh, NURSE PRACTITIONER · NPI 1912543893
Family physician in Hagerstown, Maryland. Individual provider, active in the CMS NPPES registry since November 26, 2019.
## Identity
- **NPI:** 1912543893 (Entity type: Individual)
- **Enumerated:** November 26, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R221446 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11110 MEDICAL CAMPUS RD STE 225, Hagerstown, MD 21742-6727
- **Phone:** (301) 665-4721
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Dej Med Practice, LLC (NPI 1851515902, Hagerstown, MD); Great Health Medical Group MD PC (NPI 1407662901, Lutherville, MD); Daniel Funsch Jr, M.D., P.C. (NPI 1316784580, New York, NY); Dr Medical Services PC (NPI 1053012401, New York, NY); Dr Rebman Bh LLC (NPI 1114894540, New York, NY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 26, 2024
- **Other identifiers:** Medicaid NPI (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1912543893) · Data from the CMS NPPES public registry.