REBECCA YVETTE JACKSON NP
NPI 1649876749
Nurse Practitioner - Family in Baltimore, MD
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
Specialties & Licenses
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 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.
Medicare Billing Reassignments
4Medicare enrollment records show Rebecca Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21212
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 309 clinicians in this Medicare group
Reisterstown, MD 21136
- Reassigned Medicare billing, Maryland enrollment
Bowie, MD 20716
- Reassigned Medicare billing, Maryland enrollment
- 4 clinicians in this Medicare group
Bladensburg, MD 20710
- Reassigned Medicare billing, District of Columbia enrollment
- 7 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.
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.
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.
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.
Which organizations bill Medicare for Rebecca Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Jackson reassigns Medicare benefits to 4 organizations: Medstar Urgent Care LLC (Baltimore, MD), Family Affair Care, LLC (Reisterstown, MD), Lifestream Health Center (Bowie, MD) and Prestige Healthcare Resources Inc. (Bladensburg, 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 Rebecca 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 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.
# Rebecca Yvette Jackson, NP · NPI 1649876749
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since December 5, 2020.
## Identity
- **NPI:** 1649876749 (Entity type: Individual)
- **Enumerated:** December 5, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F11200588 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2520 N CHARLES ST, Baltimore, MD 21218-4669
- **Phone:** (410) 702-0510
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Medstar Urgent Care LLC (NPI 1942623319, Baltimore, MD); Family Affair Care, LLC (NPI 1427623750, Reisterstown, MD); Lifestream Health Center (NPI 1881728996, Bowie, MD); Prestige Healthcare Resources Inc. (NPI 1144516824, Bladensburg, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649876749) · Data from the CMS NPPES public registry.