MRS. LEXIE CATHERINE GRIMM JACKOWSKI PA
NPI 1689317596
Physician Assistant in Cumberland, MD

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment
1050 W INDUSTRIAL BLVD STE 17, CUMBERLAND, MD 21502(240) 964-9300(240) 964-9310 Get Directions Write a Review

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

Record update history: Mar 20, 2026, May 7, 2025, May 22, 2023 and 1 more (4 updates tracked since 2022).

About Mrs. Lexie Catherine Grimm Jackowski Pa NPPES

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

MRS. LEXIE CATHERINE GRIMM JACKOWSKI PA (NPI 1689317596) is an individual physician assistant in Cumberland, Maryland and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689317596
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LEXIE CATHERINE GRIMM JACKOWSKICredential: PA
Location Address1050 W INDUSTRIAL BLVD STE 17Cumberland, MD 21502-4331
Mailing Address13406 Pershing StCumberland, MD 21502-5312 · (301) 471-4063
Fax(240) 964-9310
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 18, 2022
Last NPPES UpdateMarch 20, 20264 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
NPI 1689317596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1050 W INDUSTRIAL BLVD STE 17, Cumberland, MD 21502

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mrs. Lexie Catherine Grimm Jackowski Pa 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 ID8921455924
PECOS Enrollment IDI20231113003685
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
568 services527 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services69 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
69 services65 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
54 services54 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
32 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 3

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

Nurse Practitioner
1050 W INDUSTRIAL BLVD STE 17
CUMBERLAND, MD 21502
Nurse Practitioner
1050 W INDUSTRIAL BLVD STE 17
CUMBERLAND, MD 21502
Nurse Practitioner (Family)
1050 W INDUSTRIAL BLVD STE 17
CUMBERLAND, MD 21502

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 Lexie Jackowski's NPI number?

The NPI number for Lexie Jackowski is 1689317596. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Lexie Jackowski located?

Lexie Jackowski practices at 1050 W Industrial Blvd Ste 17, Cumberland, MD 21502. The listed phone number is (240) 964-9300.

What is Lexie Jackowski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lexie Jackowski enrolled in Medicare?

Yes. Lexie Jackowski 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.

Is Lexie Jackowski affiliated with any hospitals?

According to CMS data, Lexie Jackowski is affiliated with Western Maryland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lexie Jackowski was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.