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KIMBERLY JACKSON CRNP
NPI 1801620752
Nurse Practitioner - Family in Westminster, MD

Active since August 30, 2024PECOS EnrolledAccepts Medicare Assignment
532 BALTIMORE BLVD, WESTMINSTER, MD 21157(667) 367-2778 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2025, Oct 12, 2024 (2 updates tracked since 2024).

About Kimberly Jackson Crnp NPPES

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

KIMBERLY JACKSON CRNP (NPI 1801620752) is an individual family provider in Westminster, Maryland, licensed in Maryland (R158125) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801620752
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY JACKSONCredential: CRNP
Location Address532 BALTIMORE BLVDWestminster, MD 21157-6117
Mailing Address532 Baltimore BlvdWestminster, MD 21157-6117 · (667) 367-2778
Phone(667) 367-2778
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 30, 2024
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1801620752 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
License✔ Licensed in MD · R158125
532 BALTIMORE BLVD, Westminster, MD 21157
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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

Kimberly Jackson Crnp 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 ID2466931167
PECOS Enrollment IDI20260211003569
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21157 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 9

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

DENTAL CONCEPTS
Dentist (General Practice)
532 BALTIMORE BLVD, SUITE 412
WESTMINSTER, MD 21157
Carroll County (410) 876-1747
MATTHEW PURNELL LGPC
Counselor (Professional)
532 BALTIMORE BLVD
WESTMINSTER, MD 21157
Carroll County (301) 345-1022
DR. ARNOLD L KELLAR DDS
Dentist
532 BALTIMORE BLVD, #412
WESTMINSTER, MD 21157
Carroll County (410) 876-1747
MONTRIA DENAY MARTIN CRNP
Nurse Practitioner (Primary Care)
532 BALTIMORE BLVD
WESTMINSTER, MD 21157
Carroll County (667) 367-2778
BAE DENTAL ASSOCIATES-WESTMINSTER LLC
Dentist (General Practice)
532 BALTIMORE BLVD, 412
WESTMINSTER, MD 21157
Carroll County (443) 603-9000
CAROL A CONRAD P.T.
Physical Therapist
532 BALTIMORE BLVD, SUITE #101
WESTMINSTER, MD 21157
Carroll County (410) 876-5600
CARROLL ORTHOPAEDIC SPECIALISTS
Orthopaedic Surgery (Sports Medicine)
532 BALTIMORE BLVD, SUITE 201
WESTMINSTER, MD 21157
Carroll County (410) 751-8800
KENNETH BENJAMIN TEPPER MD
Orthopaedic Surgery (Sports Medicine)
532 BALTIMORE BLVD, SUITE 201
WESTMINSTER, MD 21157
Carroll County (410) 751-8800

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1801620752. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 532 Baltimore Blvd, Westminster, MD 21157. The listed phone number is (667) 367-2778.

What is Kimberly Jackson's specialty?

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

Is Kimberly Jackson enrolled in Medicare?

Yes. Kimberly Jackson 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.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.