1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Nurse Practitioner
  6. NPI Profile

JACQUELINE DEVITA
NPI 1134629553
Nurse Practitioner - Family in Baltimore, MD

Active since February 13, 2018PECOS Enrolled
1800 E FORT AVE, BALTIMORE, MD 21230(410) 746-2577 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Devita NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE DEVITA (NPI 1134629553) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R154589) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134629553
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE DEVITA
Location Address1800 E FORT AVEBaltimore, MD 21230-5338
Mailing Address1800 E Fort AveBaltimore, MD 21230-5338
Phone(410) 746-2577
Sole ProprietorYes
Enumeration DateFebruary 13, 2018
✔ NPI 1134629553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R154589
1800 E FORT AVE, Baltimore, MD 21230
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Devita is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

What is Jacqueline Devita's NPI number?

The NPI number assigned to this healthcare provider is 1134629553, enumerated as an "individual" on February 13, 2018.

Where is the provider located?

The provider is located at 1800 E FORT AVE BALTIMORE, MD 21230 and the phone number is (410) 746-2577.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.