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DR. BERNICE D. JACKSON M.D.
NPI 1639195407
Internal Medicine - Cardiovascular Disease in Washington, DC

Active since July 14, 2006PECOS Enrolled
1160 VARNUM ST NE, SUITE 314, WASHINGTON, DC 20017(202) 269-9249(202) 269-9271 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bernice D. Jackson M.d. NPPES

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

DR. BERNICE D. JACKSON M.D. (NPI 1639195407) is an individual cardiovascular disease provider in Washington, District Of Columbia, licensed in District Of Columbia (MD17118) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639195407
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. BERNICE D. JACKSONCredential: M.D.
Location Address1160 VARNUM ST NE, SUITE 314Washington, DC 20017-2107
Mailing Address15009 Notley RdSilver Spring, MD 20905-7438 · (202) 269-9429 · Fax (202) 269-9271
Phone(202) 269-9249
Fax(202) 269-9271
Sole ProprietorYes
Enumeration DateJuly 14, 2006
Last NPPES UpdateJanuary 21, 2011
✔ NPI 1639195407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in DC · MD17118
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1160 VARNUM ST NE, Washington, DC 20017
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Other Identifiers 7

OtherAETNADC · 2005550
Medicare UPINF48124DC
Other579232DC · Alliance
Medicare ID-Type Unspecified446833DC · Medicare
Medicaid027063100DC
Other6631 0001DC · Bc Bs Dc
Other63833701MD · Bcbs Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bernice D. Jackson M.d. 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 20017 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

MS. UCHENNA ANTHONIA OBICHERE CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1160 VARNUM ST NE, SUITE 317
WASHINGTON, DC 20017
District of Columbia (202) 636-1130
PHS INTERNAL MEDICINE DP317
Internal Medicine
1160 VARNUM ST NE, DEPAUL 317
WASHINGTON, DC 20017
District of Columbia (202) 640-4837
YULIZA ABIGAIL LEMUS GAMES
Behavior Technician
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 525-1448
ANITA KUNWAR MD
Internal Medicine
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 854-7785
RESOURCE PHARMACY INCORPORATED
Pharmacist
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 832-2200
PHS MULTISPECIALTY SERVICES
Surgery
1160 VARNUM ST NE, DEPAUL 300
WASHINGTON, DC 20017
District of Columbia (202) 854-4014
PHS INTERNAL MEDICINE DP311
Internal Medicine
1160 VARNUM ST NE, DEPAUL 311
WASHINGTON, DC 20017
District of Columbia (202) 854-4470
BRANDI DENISE FISHER
Behavior Technician
1160 VARNUM ST NE
WASHINGTON, DC 20017
District of Columbia (202) 525-1448

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 Bernice Jackson's NPI number?

The NPI number for Bernice Jackson is 1639195407. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Bernice Jackson located?

Bernice Jackson practices at 1160 Varnum St NE Suite 314, Washington, DC 20017. The listed phone number is (202) 269-9249.

What is Bernice Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Bernice Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bernice Jackson was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.