MRS. JACQUELYN DWELLE MCGINNIS PMHNP-BC
NPI 1750922779
Nurse Practitioner - Psychiatric/Mental Health in Mooresville, NC

Q: What is Jacquelyn Mcginnis's NPI number?

The NPI number for Jacquelyn Mcginnis is 1750922779. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Q: What is Jacquelyn Mcginnis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 01, 2019PECOS Enrolled

400 E STATESVILLE AVE STE 200, MOORESVILLE, NC 28115(704) 360-8486(704) 230-4674 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2023, Jan 11, 2022, Oct 1, 2019 (3 updates tracked since 2019).

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About Mrs. Jacquelyn Dwelle Mcginnis Pmhnp-bc NPPES

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

MRS. JACQUELYN DWELLE MCGINNIS PMHNP-BC (NPI 1750922779) is an individual psychiatric/mental health provider in Mooresville, North Carolina, licensed in North Carolina (5012332) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gastonia.

NPPES Registry Identity

NPI1750922779

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. JACQUELYN DWELLE MCGINNISCredential: PMHNP-BC

Location Address400 E STATESVILLE AVE STE 200Mooresville, NC 28115-2588

Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 865-3848

Phone(704) 360-8486

Fax(704) 230-4674

Sole ProprietorNo

Enumeration DateOctober 1, 2019

Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1750922779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 5012332

400 E STATESVILLE AVE STE 200, Mooresville, NC 28115

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Secondary Practice Location 1

Location 11337 E Garrison BlvdGastonia, NC 28054 · Phone (704) 865-3848

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacquelyn Dwelle Mcginnis Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Jacquelyn Mcginnis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Family Medicine, Inc.

Same address

Community/Behavioral Health

400 E STATESVILLE AVE STE 200
Mooresville, NC 28115

Reassigned Medicare billing, North Carolina enrollment
8 clinicians in this Medicare group

NPI 1881144590 (704) 360-8486

Caromont Medical Group, Inc.

19 mi

Family Medicine

3605 MOUNT HOLLY HUNTERSVILLE RD, SUITE B
Charlotte, NC 28216

Reassigned Medicare billing, North Carolina enrollment
673 clinicians in this Medicare group

NPI 1053616714 (704) 971-2349

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.

169 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28115 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 5

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

INDIA MUNOZ LCMHCA

Counselor (Mental Health)