MS. JEANINE MACKIEWICZ PA-C, MMS
NPI 1851797567
Physician Assistant - Surgical in Silver Spring, MD

Q: What is Jeanine Mackiewicz's NPI number?

The NPI number for Jeanine Mackiewicz is 1851797567. It was assigned to this individual provider in the NPPES registry on November 6, 2014.

Q: What is Jeanine Mackiewicz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since November 06, 2014PECOS EnrolledAccepts Medicare Assignment

1500 FOREST GLEN RD, SILVER SPRING, MD 20910(301) 754-7230(301) 754-7228 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Ms. Jeanine Mackiewicz Pa-c, Mms NPPES

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

MS. JEANINE MACKIEWICZ PA-C, MMS (NPI 1851797567) is an individual surgical provider in Silver Spring, Maryland, licensed in Maryland (C0005595) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare Shady Grove Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1851797567

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMS. JEANINE MACKIEWICZCredential: PA-C, MMS

Location Address1500 FOREST GLEN RDSilver Spring, MD 20910-1460

Mailing Address1500 Forest Glen RdSilver Spring, MD 20910-1460 · (301) 754-7230 · Fax (301) 754-7228

Phone(301) 754-7230

Fax(301) 754-7228

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 6, 2014

Last NPPES UpdateMay 12, 2017

✔ NPI 1851797567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MD · C0005595

1500 FOREST GLEN RD, Silver Spring, MD 20910

Open in Google Maps ↗

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

Ms. Jeanine Mackiewicz Pa-c, Mms 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 ID3274857602

PECOS Enrollment IDI20160404001364

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

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

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210057

Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County

Emergency services Birthing friendly

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.

JYOTSNA MAREEDU M.D.

Internal Medicine