LERIN JACKSON PMHNP-BC
NPI 1336779578
Nurse Practitioner - Psychiatric/Mental Health in Randallstown, MD

Q: What is Lerin Jackson's NPI number?

The NPI number for Lerin Jackson is 1336779578. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Q: What is Lerin Jackson'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 Lerin Jackson was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 15, 2020PECOS Enrolled

5401 OLD COURT RD, RANDALLSTOWN, MD 21133(443) 488-3645 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lerin Jackson Pmhnp-bc NPPES

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

LERIN JACKSON PMHNP-BC (NPI 1336779578) is an individual psychiatric/mental health provider in Randallstown, Maryland, licensed in Maryland (R200117) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336779578

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLERIN JACKSONCredential: PMHNP-BC

Location Address5401 OLD COURT RDRandallstown, MD 21133-5103

Mailing Address1925 Hillenwood RdBaltimore, MD 21239-3620 · (443) 488-3645

Phone(443) 488-3645

Sole ProprietorYes

Enumeration DateJanuary 15, 2020

✔ NPI 1336779578 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 · R200117

5401 OLD COURT RD, Randallstown, MD 21133

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)

Lerin Jackson 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 21133 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.

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.

LIFEBRIDGE ANESTHESIA ASSOCIATES, LLC

Anesthesiology