KATHLEEN ST JACQUES FNP-BC
NPI 1740024678
Nurse Practitioner - Family in Frederick, MD

Active since June 25, 2024PECOS EnrolledAccepts Medicare Assignment
63 THOMAS JOHNSON DR STE E, FREDERICK, MD 21702(301) 694-7600 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Jan 9, 2025, Jun 25, 2024 (3 updates tracked since 2024).

About Kathleen St Jacques Fnp-bc NPPES

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

KATHLEEN ST JACQUES FNP-BC (NPI 1740024678) is an individual family provider in Frederick, Maryland, licensed in Maryland (AC007237) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740024678
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN ST JACQUESCredential: FNP-BC
Location Address63 THOMAS JOHNSON DR STE EFrederick, MD 21702-4399
Mailing Address63 Thomas Johnson Dr Ste EFrederick, MD 21702-4399 · (301) 694-3111
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 25, 2024
Last NPPES UpdateMarch 7, 20253 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
NPI 1740024678 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 · AC007237 Licensed in VA · 0024190510
63 THOMAS JOHNSON DR STE E, Frederick, MD 21702

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

Kathleen St Jacques Fnp-bc 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 ID8729578489
PECOS Enrollment IDI20251110004000
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.

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Other Providers at the Same Location NPPES 6

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

Family Medicine
63 THOMAS JOHNSON DR STE E
FREDERICK, MD 21702
Family Medicine
63 THOMAS JOHNSON DR STE E
FREDERICK, MD 21702
Family Medicine
63 THOMAS JOHNSON DR STE E
FREDERICK, MD 21702
Physician Assistant (Medical)
63 THOMAS JOHNSON DR STE E
FREDERICK, MD 21702
Family Medicine
63 THOMAS JOHNSON DR STE E
FREDERICK, MD 21702
Nurse Practitioner (Family)
63 THOMAS JOHNSON DR STE E
FREDERICK, MD 21702

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 Kathleen St Jacques's NPI number?

The NPI number for Kathleen St Jacques is 1740024678. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Kathleen St Jacques located?

Kathleen St Jacques practices at 63 Thomas Johnson Dr Ste E, Frederick, MD 21702. The listed phone number is (301) 694-7600.

What is Kathleen St Jacques's specialty?

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

Is Kathleen St Jacques enrolled in Medicare?

Yes. Kathleen St Jacques 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 Kathleen St Jacques affiliated with any hospitals?

According to CMS data, Kathleen St Jacques is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen St Jacques was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.