1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KEVA S JACKSON FNP-BC, PMHNP-BC
NPI 1144963059
Nurse Practitioner - Family in Baltimore, MD

Active since April 18, 2022PECOS Enrolled
120 W LEXINGTON ST STE 240, BALTIMORE, MD 21201(443) 762-4745(240) 924-3412 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Sep 20, 2024, Apr 18, 2022 (3 updates tracked since 2022).

About Keva S Jackson Fnp-bc, Pmhnp-bc NPPES

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

KEVA S JACKSON FNP-BC, PMHNP-BC (NPI 1144963059) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R151343) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144963059
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEVA S JACKSONCredential: FNP-BC, PMHNP-BC
Location Address120 W LEXINGTON ST STE 240Baltimore, MD 21201-3411
Mailing Address5017 Old Court RdRandallstown, MD 21133-4630 · (443) 392-4561
Phone(443) 762-4745
Fax(240) 924-3412
Sole ProprietorYes
Enumeration DateApril 18, 2022
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1144963059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R151343
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License R151343 (MD), NP500015383 (DC)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License NP500015383 (DC)
120 W LEXINGTON ST STE 240, Baltimore, MD 21201
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)

Keva S Jackson Fnp-bc, Pmhnp-bc 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 21201 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 NPPES & CMS

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

What is Keva Jackson's NPI number?

The NPI number for Keva Jackson is 1144963059. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Keva Jackson located?

Keva Jackson practices at 120 W Lexington St Ste 240, Baltimore, MD 21201. The listed phone number is (443) 762-4745.

What is Keva Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Keva Jackson enrolled in Medicare?

Yes. Keva Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keva Jackson was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.