JUBETH FONTANILLA – Adult Health Nurse Practitioner, NPI 1053808196
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
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Provider Addresses for JUBETH FONTANILLA
525, North Wolfe Street, Washington Hill, Baltimore, Maryland, 21205, United States
BALTIMORE, MD 212052110
Phone: (410) 955-7548
Type: Location
10, Margery Court, Southfield at Whitemarsh, Perry Hall, Baltimore County, Maryland, 21236, United States
NOTTINGHAM, MD 212362626
Phone:
Type: Mailing
525 N Wolfe St
Baltimore, MD 212052110
Phone: (410) 955-7548
Type: Location
5730 EXECUTIVE DR STE 230
CATONSVILLE, MD 212281762
Phone:
Type: Mailing
8800 WALTHER BLVD
PARKVILLE, MD 212349001
Phone: (410) 882-3240
Fax: (410) 661-5093
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($38).
Total Amount
$67
General + Research + Ownership
Payments
3
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $38 |
| Boston Scientific Corporation | $29 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180531000184 | I | Nurse Practitioner | MD | TBD |
| I20200408000065 | I | Nurse Practitioner | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 709 | 147 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 441 | 93 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 283 | 121 | $0 |
| 99497 | Advance care planning, first 30 minutes | 114 | 86 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 110 | 85 | $0 |
Insurance plans in this area (ZIP 21205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| Internal Medicine | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Internal Medicine, Hospitalist, Internal Medicine | PA | |
| H O S P I T A L I S T | MD | |
| Nurse Practitioner | VA | |
| Cardiovascular Disease (Cardiology), Nuclear Medicine | MD | |
| Nurse Practitioner | MD | |
| Internal Medicine, Family Practice | OH |
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