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JANE E JACKSON M.D.
NPI 1982811709
Psychologist - Prescribing (Medical) in Kensington, MD

Active since May 17, 2007Opted out of Medicare · through Jan 1, 2028
3512 SANDY CT, KENSINGTON, MD 20895(301) 466-2562(301) 949-9666 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jane E Jackson M.d. NPPES

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

JANE E JACKSON M.D. (NPI 1982811709) is an individual prescribing (medical) provider in Kensington, Maryland, licensed in Maryland (D0028973) and active in the NPI registry since May 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982811709
Entity TypeIndividualFemale
Primary Taxonomy103TP0016X
Provider Legal NameJANE E JACKSONCredential: M.D.
Location Address3512 SANDY CTKensington, MD 20895-1420
Mailing Address3513 Sandy CtKensington, MD 20895-1420 · (301) 466-2562 · Fax (301) 949-9666
Phone(301) 466-2562
Fax(301) 949-9666
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1982811709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in MD · D0028973
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
3512 SANDY CT, Kensington, MD 20895
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Other Identifiers 4

OtherMAMSI MAPSI385639
Medicare UPINE04289
OtherK1240001DC · Carefirst Bcbs
Other343BJEMD · Carefirst Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jane E Jackson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jane Jackson's NPI number?

The NPI number for Jane Jackson is 1982811709. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Jane Jackson located?

Jane Jackson practices at 3512 Sandy Ct, Kensington, MD 20895. The listed phone number is (301) 466-2562.

What is Jane Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Jane Jackson enrolled in Medicare?

No. Jane Jackson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jane Jackson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.