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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS AMELIA JACKSON FNP
NPI 1588094304
Nurse Practitioner - Family in Glen Burnie, MD

Active since November 14, 2013PECOS Enrolled
300 HOSPITAL DR STE 223, GLEN BURNIE, MD 21061(443) 221-2222 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 16, 2026, Mar 19, 2026 (2 updates tracked since 2026).

About Miss Amelia Jackson Fnp NPPES

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

MISS AMELIA JACKSON FNP (NPI 1588094304) is an individual family provider in Glen Burnie, Maryland, licensed in Maryland (R193680) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glen Burnie, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1588094304
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS AMELIA JACKSONCredential: FNP
Location Address300 HOSPITAL DR STE 223Glen Burnie, MD 21061-5707
Mailing Address7310 Ritchie Hwy Ste 516Glen Burnie, MD 21061-3099 · (443) 222-2222
Phone(443) 221-2222
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 14, 2013
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1588094304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R193680
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License R193680 (MD)
300 HOSPITAL DR STE 223, Glen Burnie, MD 21061
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Secondary Practice Location 1

Location 17310 Ritchie Hwy Ste 516Glen Burnie, MD 21061-3099 · Phone (443) 222-2222

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Amelia Jackson Fnp 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.

PECOS PAC ID7810213113
PECOS Enrollment IDI20150304001020
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 21061 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 8

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

BRIGHTWELL HEALTH LLC
Internal Medicine
300 HOSPITAL DR STE 223
GLEN BURNIE, MD 21061
Anne Arundel County (443) 221-2222
BARRY L. MYERS
Physician Assistant
300 HOSPITAL DR STE 223
GLEN BURNIE, MD 21061
Anne Arundel County (443) 221-2222
BRIGHTWELL HEALTH LLC
Clinic/Center (Adult Mental Health)
300 HOSPITAL DR STE 223
GLEN BURNIE, MD 21061
Anne Arundel County (443) 221-2222
SOFIA J ARNOLD CRNP
Nurse Practitioner (Family)
300 HOSPITAL DR STE 223
GLEN BURNIE, MD 21061
Anne Arundel County (443) 221-2222
BRIGHTWELL HEALTH LLC
Clinic/Center (Adult Mental Health)
300 HOSPITAL DR STE 223
GLEN BURNIE, MD 21061
Anne Arundel County (443) 221-2222
DREW C FULLER M.D.
Internal Medicine
300 HOSPITAL DR STE 223
GLEN BURNIE, MD 21061
Anne Arundel County (443) 221-2222
NICOLE KNOX LCPC
Counselor (Mental Health)
300 HOSPITAL DR STE 223
GLEN BURNIE, MD 21061
Anne Arundel County (443) 221-2222
BRIGHTWELL HEALTH LLC
Internal Medicine
300 HOSPITAL DR STE 223
GLEN BURNIE, MD 21061
Anne Arundel County (443) 221-2222

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 Amelia Jackson's NPI number?

The NPI number for Amelia Jackson is 1588094304. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Where is Amelia Jackson located?

Amelia Jackson practices at 300 Hospital Dr Ste 223, Glen Burnie, MD 21061. The listed phone number is (443) 221-2222.

What is Amelia Jackson's specialty?

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

Is Amelia Jackson enrolled in Medicare?

Yes. Amelia Jackson 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.

When was this NPI record last updated?

The NPPES record for Amelia Jackson was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.