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MRS. JESSICA MAE RUNKLE MS
NPI 1184157000
Counselor - Mental Health in Goldsboro, MD

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
316 RAILROAD AVE, GOLDSBORO, MD 21636(410) 634-2380(833) 908-2287 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2021, Aug 19, 2020, Jun 15, 2017 (3 updates tracked since 2017).

About Mrs. Jessica Mae Runkle Ms NPPES

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

MRS. JESSICA MAE RUNKLE MS (NPI 1184157000) is an individual mental health provider in Goldsboro, Maryland, licensed in Maryland (LC10729) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chestertown, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184157000
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JESSICA MAE RUNKLECredential: MS
Location Address316 RAILROAD AVEGoldsboro, MD 21636-1126
Mailing Address316 Railroad AveGoldsboro, MD 21636-1126 · (410) 634-2380 · Fax (833) 908-2287
Phone(410) 634-2380
Fax(833) 908-2287
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 7, 2017
Last NPPES UpdateNovember 28, 20233 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1184157000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC10729
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LC10729 (MD)
316 RAILROAD AVE, Goldsboro, MD 21636
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Other Names 1

Former Name (1)Jessica Mae Williams Ms

Secondary Practice Location 1

Location 1315 High St Ste 203Chestertown, MD 21620-1350 · Phone (443) 282-0102 · Fax (410) 334-6362

Other Identifiers 3

OtherLC10729MD · Professional Clinical Mental Health Counselor
Medicaid609550002MD
Medicaid609550005MD

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

Mrs. Jessica Mae Runkle Ms 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 ID6103261722
PECOS Enrollment IDI20240305001491
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 Reassignments

2

Medicare enrollment records show Jessica Runkle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Choptank Community Health System Inc
11 mi
Federally Qualified Health Center (FQHC)
301 RANDOLPH ST
Denton, MD 21629
  • Reassigned Medicare billing, Maryland enrollment
  • 67 clinicians in this Medicare group
NPI 1356388599 (410) 479-4306
Grow Healthcare Group PA
949 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia and Delaware enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA JEAN KARNES-AMZIBEL DO
Family Medicine
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
BONNIE L DOVE RDH
Dental Hygienist
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
THOMAS GRIFFITH DUNCAN JR. DDS
Dentist
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 482-2224
MORGAN RHODES SMITHMYER DMD
Dentist
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
DR. ERIC HERMANSEN MD
Internal Medicine
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
GREGORY A HOLMES M.D.
Family Medicine
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380
MRS. BARBARA LOUISE STANTON ARNP
Nurse Practitioner (Adult Health)
316 RAILROAD AVE
GOLDSBORO, MD 21636
Caroline County (410) 634-2380

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 Jessica Runkle's NPI number?

The NPI number for Jessica Runkle is 1184157000. It was assigned to this individual provider in the NPPES registry on April 7, 2017. The provider is also known as Jessica Mae Williams Ms.

Where is Jessica Runkle located?

Jessica Runkle practices at 316 Railroad Ave, Goldsboro, MD 21636. The listed phone number is (410) 634-2380.

What is Jessica Runkle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Runkle enrolled in Medicare?

Yes. Jessica Runkle 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 organizations bill Medicare for Jessica Runkle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Runkle reassigns Medicare benefits to 2 organizations: Choptank Community Health System Inc (Denton, MD) and Grow Healthcare Group PA (Miami, FL). Each 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 Jessica Runkle'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 Jessica Runkle was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.