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

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: August 02, 2026.

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

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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Counselor (Mental Health)
400 E STATESVILLE AVE STE 200
MOORESVILLE, NC 28115
Nurse Practitioner (Primary Care)
400 E STATESVILLE AVE STE 200
MOORESVILLE, NC 28115
Counselor (Professional)
400 E STATESVILLE AVE STE 200
MOORESVILLE, NC 28115
Nurse Practitioner (Psychiatric/Mental Health)
400 E STATESVILLE AVE STE 200
MOORESVILLE, NC 28115
Community/Behavioral Health
400 E STATESVILLE AVE STE 200
MOORESVILLE, NC 28115

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 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.

Where is Jacquelyn Mcginnis located?

Jacquelyn Mcginnis practices at 400 E Statesville Ave Ste 200, Mooresville, NC 28115. The listed phone number is (704) 360-8486.

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.

Is Jacquelyn Mcginnis enrolled in Medicare?

Yes. Jacquelyn Mcginnis is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn Mcginnis accept?

Health plans from Blue Cross and Blue Shield of NC list Jacquelyn Mcginnis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelyn Mcginnis was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.