BECKY A JACKS
NPI 1245911767
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Q: What is Becky Jacks's NPI number?

The NPI number for Becky Jacks is 1245911767. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Q: What is Becky Jacks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Becky Jacks was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 27, 2023PECOS EnrolledAccepts Medicare Assignment

11100 BILLINGSLEY RD, WALDORF, MD 20602(301) 357-4199 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Becky A Jacks NPPES

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

BECKY A JACKS (NPI 1245911767) is an individual psychiatric/mental health provider in Waldorf, Maryland, licensed in Maryland (R232693) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245911767

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBECKY A JACKS

Location Address11100 BILLINGSLEY RDWaldorf, MD 20602-3400

Mailing Address11100 Billingsley RdWaldorf, MD 20602-3400 · (301) 357-4199

Phone(301) 357-4199

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 27, 2023

NPPES CertifiedJuly 27, 2023

✔ NPI 1245911767 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

License✔ Licensed in MD · R232693

11100 BILLINGSLEY RD, Waldorf, MD 20602

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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

Becky A Jacks 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 ID3779022462

PECOS Enrollment IDI20240826003425

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 20602 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

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.

CAROLINE SCHAEFER

Registered Nurse