JACQUELINE RENE RUNNER FNP
NPI 1396772257
Nurse Practitioner - Family in Annapolis, MD

Q: What is Jacqueline Runner's NPI number?

The NPI number for Jacqueline Runner is 1396772257. It was assigned to this individual provider in the NPPES registry on June 27, 2006. The provider is also known as Jacqueline Rene Smith.

Q: What is Jacqueline Runner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Runner was last updated on November 19, 2014. 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 June 27, 2006PECOS Enrolled

2114 GENERALS HWY, ANNAPOLIS, MD 21401(888) 808-6483 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Rene Runner Fnp NPPES

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

JACQUELINE RENE RUNNER FNP (NPI 1396772257) is an individual family provider in Annapolis, Maryland, licensed in Maryland (R111672) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396772257

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE RENE RUNNERCredential: FNP

Location Address2114 GENERALS HWYAnnapolis, MD 21401-7488

Mailing Address2209 Defense Hwy, Suite CCrofton, MD 21114-2403 · (443) 332-4260

Phone(888) 808-6483

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateNovember 19, 2014

✔ NPI 1396772257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R111672

2114 GENERALS HWY, Annapolis, MD 21401

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Other Names 1

Professional Name (2)Jacqueline Rene Smith

Other Identifiers 7

Medicare ID-Type Unspecified008379N42VA

Medicaid010188695VA

Medicaid010188652VA

Medicaid255202700MD

Medicare UPINQ52895VA

Medicaid010188768VA

Medicaid010188733VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Rene Runner Fnp 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 21401 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 17

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

TERESA LEE GORE PA-C

Physician Assistant