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DR. JERRELL LEE DRIVER PHD
NPI 1912908963
Psychologist - Clinical in Jackson, MO

Active since August 02, 2005PECOS Enrolled
2387 W JACKSON BLVD, SUITE B, JACKSON, MO 63755(573) 204-7771(573) 204-7771 Get Directions Write a Review

NPPES record last updated: September 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerrell Lee Driver Phd NPPES

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

DR. JERRELL LEE DRIVER PHD (NPI 1912908963) is an individual clinical provider in Jackson, Missouri, licensed in Missouri (PY 00099) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912908963
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JERRELL LEE DRIVERCredential: PHD
Location Address2387 W JACKSON BLVD, SUITE BJackson, MO 63755-3024
Mailing AddressPost Office Box 1642Cape Girardeau, MO 63702-1642 · (573) 204-7771 · Fax (573) 204-7771
Phone(573) 204-7771
Fax(573) 204-7771
Sole ProprietorYes
Enumeration DateAugust 2, 2005
Last NPPES UpdateSeptember 10, 2011
✔ NPI 1912908963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MO · PY 00099
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2387 W JACKSON BLVD, Jackson, MO 63755
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Other Identifiers 3

Medicare ID-Type Unspecified000070967MO
Medicaid493204309MO
OtherPY00099Mo-license Psychologist

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerrell Lee Driver Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 63755 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
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 5

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

GEOFFREY LEE ENDERS DPT
Physical Therapist
2387 W JACKSON BLVD, SUITE C
JACKSON, MO 63755
Cape Girardeau County (573) 243-0210
JUSTIN FRANKE
Physical Therapist
2387 W JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-0210
DR. JULIA ANNETTE PEWITT D.O.
Family Medicine
2387 W JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-9288
JACKSON MEDICAL CENTER PC
Family Medicine
2387 W JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-9288
CHARLES S PEWITT DO
Family Medicine
2387 W JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-9288

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 Jerrell Driver's NPI number?

The NPI number for Jerrell Driver is 1912908963. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Jerrell Driver located?

Jerrell Driver practices at 2387 W Jackson Blvd Suite B, Jackson, MO 63755. The listed phone number is (573) 204-7771.

What is Jerrell Driver's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jerrell Driver enrolled in Medicare?

Yes. Jerrell Driver is registered in the Medicare PECOS enrollment system.

What insurance does Jerrell Driver accept?

Health plans from Medica and Providence Health Plan list Jerrell Driver 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.

When was this NPI record last updated?

The NPPES record for Jerrell Driver was last updated on September 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.