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

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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 and is a graduate of Other (2022).

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
Medical School CMSOtherGraduated 2022
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keva S Jackson Fnp-bc, 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 ID5698159879
PECOS Enrollment IDI20220907002955
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.

Medicare Billing Reassignment

Medicare enrollment records show Keva Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baltimore Healthcare And Wellness LLC
1.5 mi
Primary Care
2131 MARYLAND AVE
Baltimore, MD 21218
  • Reassigned Medicare billing, Maryland enrollment
  • 3 clinicians in this Medicare group
NPI 1306511597 (443) 762-5343

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Keva Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keva Jackson reassigns Medicare benefits to Baltimore Healthcare And Wellness LLC (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keva Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.