KENDRA JOY JACKSON MD
NPI 1649776469
Pediatrics - Pediatric Emergency Medicine in Baltimore, MD
About Kendra Joy Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA JOY JACKSON MD (NPI 1649776469) is an individual pediatric emergency medicine provider in Baltimore, Maryland, licensed in Maryland (D0099966) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kendra Joy Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kendra Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21205
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 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.
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.
BALTIMORE, MD 21287
BALTIMORE, MD 21287
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 Kendra Jackson's NPI number?
The NPI number for Kendra Jackson is 1649776469. It was assigned to this individual provider in the NPPES registry on April 2, 2018.
Where is Kendra Jackson located?
Kendra Jackson practices at 1800 Orleans St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.
What is Kendra Jackson's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Kendra Jackson enrolled in Medicare?
Yes. Kendra Jackson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kendra Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Jackson reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Carolinas Medical Center (Concord, NC). 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 Kendra Jackson'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 Kendra Jackson was last updated on September 6, 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.
# Kendra Joy Jackson, MD · NPI 1649776469
Pediatric Emergency Medicine physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 2, 2018.
## Identity
- **NPI:** 1649776469 (Entity type: Individual)
- **Enumerated:** April 2, 2018
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** D0099966 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1800 ORLEANS ST, Baltimore, MD 21287-0010
- **Phone:** (410) 955-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Johns Hopkins University (NPI 1033190442, Baltimore, MD); Carolinas Medical Center (NPI 1467790055, Concord, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649776469) · Data from the CMS NPPES public registry.