MR. PHILLIP ANTHONY JACKSON JR. CRNP
NPI 1992435036
Nurse Practitioner in Baltimore, MD
About Mr. Phillip Anthony Jackson Jr. Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PHILLIP ANTHONY JACKSON JR. CRNP (NPI 1992435036) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R230527) and active in the NPI registry since June 2022. He 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 and accepts Medicare assignment
Mr. Phillip Anthony Jackson Jr. Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Phillip Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 234 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 108 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Phillip Jackson's NPI number?
The NPI number for Phillip Jackson is 1992435036. It was assigned to this individual provider in the NPPES registry on June 13, 2022.
Where is Phillip Jackson located?
Phillip Jackson practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-8667.
What is Phillip Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Phillip Jackson enrolled in Medicare?
Yes. Phillip Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Phillip Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Jackson reassigns Medicare benefits to 2 organizations: University Of Maryland Emergency Medicine Associates, PA (Baltimore, MD) and University Of Maryland Midtown Health Inc (Baltimore, 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 Phillip Jackson'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 Phillip Jackson was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Phillip Anthony Jackson Jr., CRNP · NPI 1992435036
Nurse Practitioner physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 13, 2022.
## Identity
- **NPI:** 1992435036 (Entity type: Individual)
- **Enumerated:** June 13, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R230527 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1544
- **Phone:** (410) 328-8667
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): University Of Maryland Emergency Medicine Associates, PA (NPI 1144271743, Baltimore, MD); University Of Maryland Midtown Health Inc (NPI 1710347729, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1992435036) · Data from the CMS NPPES public registry.