JACKELYN R FARRELL P.A.
NPI 1366727299
Physician Assistant - Medical in Takoma Park, MD

Q: What is Jackelyn Farrell's NPI number?

The NPI number for Jackelyn Farrell is 1366727299. It was assigned to this individual provider in the NPPES registry on October 11, 2011. The provider is also known as Jackelyn R Dutil P.A..

Q: What is Jackelyn Farrell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jackelyn Farrell was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 October 11, 2011PECOS Enrolled

7600 CARROLL AVE, TAKOMA PARK, MD 20912(301) 891-5070(301) 891-6346 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jackelyn R Farrell P.a. NPPES

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

JACKELYN R FARRELL P.A. (NPI 1366727299) is an individual medical provider in Takoma Park, Maryland, licensed in Virginia (0110003704) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366727299

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJACKELYN R FARRELLCredential: P.A.

Location Address7600 CARROLL AVETakoma Park, MD 20912-6367

Mailing Address20010 Century Blvd, Suite 200Germantown, MD 20874-1115 · (240) 686-2300 · Fax (240) 686-2330

Phone(301) 891-5070

Fax(301) 891-6346

Sole ProprietorNo

Enumeration DateOctober 11, 2011

Last NPPES UpdateFebruary 6, 2015

✔ NPI 1366727299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VA · 0110003704

7600 CARROLL AVE, Takoma Park, MD 20912

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Other Names 1

Former Name (1)Jackelyn R Dutil P.a.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackelyn R Farrell P.a. 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

36 services36 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

21 services21 patients

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.

MRS. REGINA SUGGS ERNEST OTR

Occupational Therapist

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-5391

MR. JASON ROBERT BARFUSS PA-C

Physician Assistant (Surgical)

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-7600

LEA STERN MD

Anesthesiology

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-5520

CATHERINE WEBB

Physical Therapist

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-5391

MRS. JOANNA MARIE HOLT NP

Nurse Practitioner (Adult Health)

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-7600

MASHANDA CAMILLE DODSON PT, MPT

Physical Therapist

7600 CARROLL AVE, UNIT 5200
TAKOMA PARK, MD 20912

Montgomery County (301) 891-5560

MRS. EILEEN SMITH WHITAKER M.A.-CCC SLP

Speech-Language Pathologist

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (301) 891-5392

MEDICAL FACULTY ASSOCIATES INC

Internal Medicine

7600 CARROLL AVE
TAKOMA PARK, MD 20912

Montgomery County (202) 741-3350

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 Jackelyn Farrell's NPI number?

The NPI number for Jackelyn Farrell is 1366727299. It was assigned to this individual provider in the NPPES registry on October 11, 2011. The provider is also known as Jackelyn R Dutil P.A..

Where is Jackelyn Farrell located?

Jackelyn Farrell practices at 7600 Carroll Ave, Takoma Park, MD 20912. The listed phone number is (301) 891-5070.

What is Jackelyn Farrell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jackelyn Farrell enrolled in Medicare?

Yes. Jackelyn Farrell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackelyn Farrell was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.