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MRS. JACQUELINE BURT HARTMAN PMHNP-BC
NPI 1134754591
Nurse Practitioner - Psychiatric/Mental Health in Mount Holly, NC

Active since March 05, 2020PECOS EnrolledAccepts Medicare Assignment
100 COPPER CV, MOUNT HOLLY, NC 28120(225) 717-7755 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, May 28, 2023, Feb 5, 2021 and 2 more (5 updates tracked since 2020).

About Mrs. Jacqueline Burt Hartman Pmhnp-bc NPPES

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

MRS. JACQUELINE BURT HARTMAN PMHNP-BC (NPI 1134754591) is an individual psychiatric/mental health provider in Mount Holly, North Carolina, licensed in North Carolina (327144) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1134754591
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JACQUELINE BURT HARTMANCredential: PMHNP-BC
Location Address100 COPPER CVMount Holly, NC 28120-9170
Mailing Address100 Copper CvMount Holly, NC 28120-9170 · (225) 717-7755
Phone(225) 717-7755
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 5, 2020
Last NPPES UpdateSeptember 15, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1134754591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NC · 327144✔ Licensed in ID · 7261376✔ Licensed in CT · 12054✔ Licensed in NC · 5013676
100 COPPER CV, Mount Holly, NC 28120
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-4000
Location 2301 Cedar StOrofino, ID 83544-9029 · Phone (208) 476-5777 · Fax (208) 476-5385
Location 3701 Lewiston StCottonwood, ID 83522-9750 · Phone (208) 962-3251 · Fax (208) 962-2313
Location 4540 Litchfield StTorrington, CT 06790-6679 · Phone (972) 449-0540

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jacqueline Burt Hartman Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628485638
PECOS Enrollment IDI20210318000351, I20250207000560, I20250303003112, I20250411002829, I20250506003449, I20250519001593, I20250711003032
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
41 services39 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28120 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Hartman's NPI number?

The NPI number for Jacqueline Hartman is 1134754591. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Jacqueline Hartman located?

Jacqueline Hartman practices at 100 Copper Cv, Mount Holly, NC 28120. The listed phone number is (225) 717-7755.

What is Jacqueline Hartman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacqueline Hartman enrolled in Medicare?

Yes. Jacqueline Hartman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacqueline Hartman accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Oscar Health Plan of North Carolina, Inc, Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare and 1 other insurer list Jacqueline Hartman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Hartman was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.