JACKQUELINE L ROBERTSON AGACNP-BC
NPI 1760214100
Nurse Practitioner - Acute Care in Beaumont, TX

Q: What is Jackqueline Robertson's NPI number?

The NPI number for Jackqueline Robertson is 1760214100. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Q: What is Jackqueline Robertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since August 15, 2024PECOS EnrolledAccepts Medicare Assignment

3080 COLLEGE ST, BEAUMONT, TX 77701(409) 212-5000 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jackqueline L Robertson Agacnp-bc NPPES

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

JACKQUELINE L ROBERTSON AGACNP-BC (NPI 1760214100) is an individual acute care provider in Beaumont, Texas, licensed in Texas (1172149) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760214100

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJACKQUELINE L ROBERTSONCredential: AGACNP-BC

Location Address3080 COLLEGE STBeaumont, TX 77701-4606

Mailing AddressPo Box 205Thicket, TX 77374-0205 · (520) 425-0739

Phone(409) 212-5000

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 15, 2024

Last NPPES UpdateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1760214100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1172149

Also ListedNursing CareTaxonomy 251J00000X · License 690734 (TX)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1172149 (TX)

3080 COLLEGE ST, Beaumont, TX 77701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

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

Jackqueline L Robertson Agacnp-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 ID6901889633

PECOS Enrollment IDI20241107002641, I20260331004661

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 2

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

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670034

Location300 University BlvdRound Rock, TX 78664 · Williamson County

Emergency services Birthing friendly

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670041

Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77701 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

$83.80 typical visit price

range $54.04 – $164.93

Typical copayment $20.95 (range $13.51 – $41.23)

Most-billed visit code 99203

Established Patient

$95.83 typical visit price

range $17.17 – $134.47

Typical copayment $23.95 (range $4.29 – $33.61)

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 20

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

SHUBHDEEP SINGH MBBS

Student in an Organized Health Care Education/Training Program