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

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: October 25, 2026.

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 and is a graduate of Other (2019).

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
Medical School CMSOtherGraduated 2019
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
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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 (PECOS)

Lerin Jackson Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406285162
PECOS Enrollment IDI20200331002256
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 Lerin Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Able Minds
6.8 mi
Mental Health (Including Community Mental Health Center)
2 W ROLLING XRDS # 211
Catonsville, MD 21228
  • Reassigned Medicare billing, Maryland enrollment
NPI 1063289874 (443) 677-5094
American Psychiatric Care
18 mi
Psychiatry
5009 HONEYGO CENTER DR STE 200
Perry Hall, MD 21128
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1669031225 (District of Columbia)
  • 7 clinicians in this Medicare group
NPI 1336834100 (410) 670-3076

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 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
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
ZOENA YANNAKAKIS M.D.
Specialist
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
TONYA M. PEASE CRNA
Nurse Anesthetist, Certified Registered
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 496-7572
MS. SHANNON LYNN WATTS PA-C
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
SCOTT W STROMBERG PA
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
HARAMRIT RAJAN PA-C
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
EMERGENCY MEDICINE ASSOCIATES PA PC
Internal Medicine
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (330) 493-4443
JON A NEWSOME MD
Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200

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 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.

Where is Lerin Jackson located?

Lerin Jackson practices at 5401 Old Court Rd, Randallstown, MD 21133. The listed phone number is (443) 488-3645.

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.

Is Lerin Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Lerin Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lerin Jackson reassigns Medicare benefits to 2 organizations: Able Minds (Catonsville, MD) and American Psychiatric Care (Perry Hall, MD). 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 Lerin 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 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.