JACQUELINE REGINA ELBA PMHNP-BC
NPI 1558863704
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA
About Jacqueline Regina Elba Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE REGINA ELBA PMHNP-BC (NPI 1558863704) is an individual psychiatric/mental health provider in Woodbridge, Virginia, licensed in Virginia (0024175614) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline Regina Elba Pmhnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Elba reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 128 clinicians in this Medicare group
Barstow, MD 20610
- Reassigned Medicare billing, Maryland enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jacqueline Elba's NPI number?
The NPI number for Jacqueline Elba is 1558863704. It was assigned to this individual provider in the NPPES registry on March 5, 2018.
Where is Jacqueline Elba located?
Jacqueline Elba practices at 2701 Neabsco Common Pl, Woodbridge, VA 22191. The listed phone number is (703) 731-9283.
What is Jacqueline Elba's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jacqueline Elba enrolled in Medicare?
Yes. Jacqueline Elba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Elba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Elba reassigns Medicare benefits to 2 organizations: Axis Healthcare Group (Silver Spring, MD) and Calvert County Health Department (Barstow, 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 Jacqueline Elba'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 Jacqueline Elba was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacqueline Regina Elba, PMHNP-BC · NPI 1558863704
Psychiatric/Mental Health physician in Woodbridge, Virginia. Individual provider, active in the CMS NPPES registry since March 5, 2018.
## Identity
- **NPI:** 1558863704 (Entity type: Individual)
- **Enumerated:** March 5, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024175614 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2701 NEABSCO COMMON PL, Woodbridge, VA 22191-4185
- **Phone:** (703) 731-9283
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Axis Healthcare Group (NPI 1326295098, Silver Spring, MD); Calvert County Health Department (NPI 1912355637, Barstow, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558863704) · Data from the CMS NPPES public registry.