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REBECCA YVETTE JACKSON NP
NPI 1649876749
Nurse Practitioner - Family in Baltimore, MD

Active since December 05, 2020PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
2520 N CHARLES ST, BALTIMORE, MD 21218(410) 702-0510 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Dec 5, 2020 (2 updates tracked since 2020).

About Rebecca Yvette Jackson Np NPPES

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

REBECCA YVETTE JACKSON NP (NPI 1649876749) is an individual family provider in Baltimore, Maryland, licensed in Maryland (F11200588) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649876749
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA YVETTE JACKSONCredential: NP
Location Address2520 N CHARLES STBaltimore, MD 21218-4669
Mailing Address2520 N Charles StBaltimore, MD 21218-4669
Phone(410) 702-0510
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 5, 2020
Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1649876749 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
Licenses✔ Licensed in MD · F11200588✔ Licensed in MD · R160571
2520 N CHARLES ST, Baltimore, MD 21218
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Secondary Practice Location 1

Location 1705 E Patapsco Ave # 2Brooklyn, MD 21225-1934 · Phone (240) 394-3453

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

Rebecca Yvette Jackson Np 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 ID6305244922
PECOS Enrollment IDI20211013000815
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 21218 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.91
Promoting Interoperability100
Improvement Activities40
Cost48.97

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 Rebecca Jackson's NPI number?

The NPI number for Rebecca Jackson is 1649876749. It was assigned to this individual provider in the NPPES registry on December 5, 2020.

Where is Rebecca Jackson located?

Rebecca Jackson practices at 2520 N Charles St, Baltimore, MD 21218. The listed phone number is (410) 702-0510.

What is Rebecca Jackson's specialty?

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

Is Rebecca Jackson enrolled in Medicare?

Yes. Rebecca 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 Rebecca Jackson was last updated on December 20, 2023. 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.