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

Jie Kong, CRNPMSN

Individual provider Family Nurse Practitioner · NPI 1215040951

Jie Kong, CRNPMSN is a Nurse Practitioner in Columbia, Maryland. Qualified in 2001, 25 years ago. Practices with Adventist Physician Services Inc, a 144-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
25
Licensed in
MD
In the registry since
2006
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Practice location Address checks out

10802 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone: (410) 997-1336
Fax: (410) 997-1636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R143501 (MD)

Record details

NPI number1215040951
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNPMSN
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESJanuary 26, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Adventist Physician Services Inc — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia