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: July 19, 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
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

Other Identifiers 3

Medicare ID-Type Unspecified000070967MO
Medicaid493204309MO
OtherPY00099Mo-license Psychologist

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Jerrell Driver is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 63755 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $161.24
  • Minimum New Patient Price $52.28
  • Maximum New Patient Price $161.24
  • Average New Patient Copayment $40.31
  • Minimum New Patient Copayment $13.07
  • Maximum New Patient Copayment $40.31

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.24
  • Minimum Established Patient Price $16.3
  • Maximum Established Patient Price $131.05
  • Average Established Patient Copayment $23.31
  • Minimum Established Patient Copayment $4.07
  • Maximum Established Patient Copayment $32.76

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
2387 W JACKSON BLVD
JACKSON, MO 63755
Physical Therapist
2387 W JACKSON BLVD
JACKSON, MO 63755
Family Medicine
2387 W JACKSON BLVD
JACKSON, MO 63755
Physical Therapist
2387 W JACKSON BLVD, SUITE C
JACKSON, MO 63755
Family Medicine
2387 W JACKSON BLVD
JACKSON, MO 63755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912908963, enumerated as an "individual" on August 02, 2005.

The provider is located at 2387 W JACKSON BLVD SUITE B JACKSON, MO 63755 and the phone number is (573) 204-7771.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medica, Providence Health Plan, Medicare and. Please consult your insurance carrier or call the provider to verify.