JACKQUELINE L ROBERTSON AGACNP-BC
NPI 1760214100
Nurse Practitioner - Acute Care in Beaumont, TX
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 Christus Ochsner St Patrick Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Jackqueline Robertson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Charles, LA 70605
- Reassigned Medicare billing, Louisiana enrollment
- 60 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
Austin, TX 78738
- Reassigned Medicare billing, Texas enrollment
- 75 clinicians in this Medicare group
Austin, TX 78738
- Reassigned Medicare billing, Texas enrollment
- 111 clinicians in this Medicare group
Bellevue, WA 98004
- Reassigned Medicare billing, Texas enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Ochsner St Patrick Hospital
Acute Care Hospitals · Lake Charles, LABaylor Scott & White Medical Center - Round Rock
Acute Care Hospitals · Round Rock, TXPhysician 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.
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.
BEAUMONT, TX 77701
BEAUMONT, TX 77701
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 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.
Where is Jackqueline Robertson located?
Jackqueline Robertson practices at 3080 College St, Beaumont, TX 77701. The listed phone number is (409) 212-5000.
What is Jackqueline Robertson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jackqueline Robertson enrolled in Medicare?
Yes. Jackqueline Robertson 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.
Which organizations bill Medicare for Jackqueline Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackqueline Robertson reassigns Medicare benefits to 5 organizations: Southwest Louisiana Physicians, LLC (Lake Charles, LA), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Aco Jason Martin Medical Consulting (Austin, TX), Jason Martin Medical Consulting LLC (Austin, TX) and Daiya Healthcare PLLC (Bellevue, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackqueline Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jackqueline Robertson accept?
Health plans from Blue Cross and Blue Shield of Texas, HMO Louisiana, Molina Healthcare, Oscar Insurance Company and WellPoint list Jackqueline Robertson 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.
Is Jackqueline Robertson affiliated with any hospitals?
According to CMS data, Jackqueline Robertson is affiliated with Christus Ochsner St Patrick Hospital and Baylor Scott & White Medical Center - Round Rock.
When was this NPI record last updated?
The NPPES record for Jackqueline Robertson 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 23 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.
# Jackqueline L Robertson, AGACNP-BC · NPI 1760214100
Acute Care physician in Beaumont, Texas. Individual provider, active in the CMS NPPES registry since August 15, 2024.
## Identity
- **NPI:** 1760214100 (Entity type: Individual)
- **Enumerated:** August 15, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1172149 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3080 COLLEGE ST, Beaumont, TX 77701-4606
- **Phone:** (409) 212-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Southwest Louisiana Physicians, LLC (NPI 1972384139, Lake Charles, LA); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); Aco Jason Martin Medical Consulting (NPI 1881578961, Austin, TX); Jason Martin Medical Consulting LLC (NPI 1851736243, Austin, TX); Daiya Healthcare PLLC (NPI 1477027381, Bellevue, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 29, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1760214100) · Data from the CMS NPPES public registry.