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

Jubeth Fontanilla

Individual provider Adult Health Nurse Practitioner · NPI 1053808196

Jubeth Fontanilla is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2018, 8 years ago. Practices with Synergy Medical Group LLC, a 99-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2018
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Practice location Address checks out

525 N Wolfe St
Baltimore, MD 21205-2110
Phone: (410) 955-7548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence R165036 (MD)

Record details

NPI number1053808196
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2018
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Synergy Medical Group Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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