KIMBERLY JACKSON CRNP
NPI 1801620752
Nurse Practitioner - Family in Westminster, MD
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Linthicum Heights, MD 21090
- Reassigned Medicare billing, Maryland enrollment
- 121 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.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WESTMINSTER, MD 21157
WESTMINSTER, MD 21157
WESTMINSTER, MD 21157
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.
Which organization bills Medicare for Kimberly Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Jackson reassigns Medicare benefits to Medstar Health Weight Management, LLC (Linthicum Heights, MD). The 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 Kimberly Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 11 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.
# Kimberly Jackson, CRNP · NPI 1801620752
Family physician in Westminster, Maryland. Individual provider, active in the CMS NPPES registry since August 30, 2024.
## Identity
- **NPI:** 1801620752 (Entity type: Individual)
- **Enumerated:** August 30, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R158125 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 532 BALTIMORE BLVD, Westminster, MD 21157-6117
- **Phone:** (667) 367-2778
## 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:** Medstar Health Weight Management, LLC (NPI 1013785971, Linthicum Heights, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801620752) · Data from the CMS NPPES public registry.