ELIN JACQUETTE CRNP
NPI 1801770995
Nurse Practitioner - Family in Upper Marlboro, MD
About Elin Jacquette Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIN JACQUETTE CRNP (NPI 1801770995) is an individual family provider in Upper Marlboro, Maryland, licensed in Maryland (R207774) and active in the NPI registry since August 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2021).
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 (PECOS)
Elin Jacquette Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Elin Jacquette reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oxon Hill, MD 20745
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Metro Spine P.C.
- 15 clinicians in this Medicare group
Waldorf, MD 20602
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 6 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 20772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Elin Jacquette's NPI number?
The NPI number for Elin Jacquette is 1801770995. It was assigned to this individual provider in the NPPES registry on August 2, 2025.
Where is Elin Jacquette located?
Elin Jacquette practices at 4610 Exmoore Ct, Upper Marlboro, MD 20772. The listed phone number is (404) 421-2555.
What is Elin Jacquette's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elin Jacquette enrolled in Medicare?
Yes. Elin Jacquette is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Elin Jacquette's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elin Jacquette reassigns Medicare benefits to 2 organizations: Metrospine PC (Oxon Hill, MD) and Maryland Pain & Regenerative Center, LLC (Waldorf, MD). 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 Elin Jacquette'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 Elin Jacquette was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Elin Jacquette, CRNP · NPI 1801770995
Family physician in Upper Marlboro, Maryland. Individual provider, active in the CMS NPPES registry since August 2, 2025.
## Identity
- **NPI:** 1801770995 (Entity type: Individual)
- **Enumerated:** August 2, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R207774 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4610 EXMOORE CT, Upper Marlboro, MD 20772-8072
- **Phone:** (404) 421-2555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Metrospine PC (NPI 1194844357, Oxon Hill, MD); Maryland Pain & Regenerative Center, LLC (NPI 1104467463, Waldorf, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801770995) · Data from the CMS NPPES public registry.