Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerome Cabalhin Lastimosa, CRNP-ADULT

Individual provider Gerontology Nurse Practitioner · NPI 1588316798

Jerome Cabalhin Lastimosa, CRNP-ADULT is a Nurse Practitioner in Glen Burnie, Maryland. Qualified in 2021, 5 years ago. Practices with Synergy Medical Group LLC, a 99-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2022

Practice location Address checks out

300 Hospital Dr
Glen Burnie, MD 21061-6902
Phone: (410) 787-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence R184022 (MD)

Record details

NPI number1588316798
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP-ADULT
Sole proprietorNo
NPI enumeratedJanuary 20, 2022
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Synergy Medical Group Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Glen Burnie