JACKQUELINE L ROBERTSON AGACNP-BC
NPI 1760214100
Nurse Practitioner - Acute Care in Beaumont, TX

NPI Status: Active since August 15, 2024

Contact Information

3080 COLLEGE ST
BEAUMONT, TX
ZIP 77701
Phone: (409) 212-5000

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  • Individual
  • Female
  • Years of Experience 3
  • Nurse Practitioner
  • Acute Care
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACKQUELINE ROBERTSON

This page provides the complete NPI Profile along with additional information for Jackqueline Robertson, a provider established in Beaumont, Texas with a medical specialization in Nurse Practitioner, focusing in acute care and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1760214100 assigned on August 2024. The practitioner's primary taxonomy code is 363LA2100X with license number 1172149 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1760214100
Provider Name
JACKQUELINE L ROBERTSON AGACNP-BC
Gender
Female
Entity Type
Individual
Location Address
3080 COLLEGE ST BEAUMONT, TX 77701
Location Phone
(409) 212-5000
Mailing Address
PO BOX 205 THICKET, TX 77374
Mailing Phone
(520) 425-0739
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
Yes
Enumeration Date
08-15-2024
Last Update Date
10-29-2024
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A nurse practitioner (NP) like Jackqueline Robertson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1172149
License State
TX

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251J00000XAgencies

Nursing Care

690734 (TX)
2363LG0600XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Gerontology

1172149 (TX)

Medicare Participation & PECOS Enrollment Status

Jackqueline Robertson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jackqueline Robertson 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, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

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

  • PECOS PAC ID: 6901889633

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241107002641

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.95 for a new patient copayment and $23.95 for an established patient copayment.

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 77701 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.8
  • Minimum New Patient Price $54.04
  • Maximum New Patient Price $164.93
  • Average New Patient Copayment $20.95
  • Minimum New Patient Copayment $13.51
  • Maximum New Patient Copayment $41.23

Established Patients Visit Costs *

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

  • Average Established Patient Price $95.83
  • Minimum Established Patient Price $17.17
  • Maximum Established Patient Price $134.47
  • Average Established Patient Copayment $23.95
  • Minimum Established Patient Copayment $4.29
  • Maximum Established Patient Copayment $33.61

* 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jackqueline Robertson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ASCENSION SETON MEDICAL CENTER AUSTIN1201 W 38TH ST
AUSTIN, TX 78705
(512) 324-1000Acute Care Hospitals
BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK300 UNIVERSITY BLVD
ROUND ROCK, TX 78664
(512) 509-0100Acute Care Hospitals
ASCENSION SETON WILLIAMSON201 SETON PARKWAY
ROUND ROCK, TX 78664
(512) 324-0000Acute Care Hospitals

Reviews for JACKQUELINE L ROBERTSON AGACNP-BC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760214100
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712041810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 4 + 1 + 8 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1760214100 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225088479EMERGENCY HEALTH SERVICES ASSOCIATES, P.A.
Organization
Emergency Medicine3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-6600
1093744187BAPTIST HOSPITALS OF SOUTHEAST TEXAS
Organization
General Acute Care Hospital3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-6149
1902818552DR. DARRELLA LYNETTE COOPER MD
Individual
Emergency Medicine3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 835-3781
1255343745 YANCEY ROY FOSTER FNP
Individual
Nurse Practitioner3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 835-3781
1134131790 GIDEON ARPUTHE DANIEL PAC
Individual
Physician Assistant3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 835-3781
1043222557 CATHERINE ELAINE GUYOTE FNP
Individual
Nurse Practitioner3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 835-3781
1518979061 HEATH CLYDE LAPRAY NP
Individual
Nurse Practitioner3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 835-3781
1467556761BAPTIST HOSPITALS OF SOUTHEAST TEXAS
Organization
Rehabilitation Unit3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-6149
1104920412BAPTIST HOSPITALS OF SOUTH EAST TEXAS
Organization
Psychiatric Unit3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-6149
1548336332TEXAS EM-I MEDICAL SERVICES, PA
Organization
Emergency Medicine3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-6600
1336310978MR. JASON D BEDAIR MSN, FNP
Individual
Nurse Practitioner (Family)3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-6600
1457643223SOUND INPATIENT PHYSICIANS OF TEXAS I, INC
Organization
Hospitalist3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-5000
1093852048 KATHERINE DEMERITT P.A.
Individual
Physician Assistant (Medical)3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-5000
1992701361DR. GUOXIN WU M.D
Individual
Anesthesiology3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-5000
1508105644 AILY LIEM POWELL PHARM.D., MS
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-7280
1952750424MRS. YASHEKA SHONTE' ROY FNP-BC
Individual
Nurse Practitioner (Family)3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-7474
1891145025MR. JOHN FEHRENBACHER
Individual
Nurse Practitioner (Family)3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-6600
1235330804MR. MATTHEW LEE DUNN NP
Individual
Nurse Practitioner3080 COLLEGE ST 3 SABINE/PROGRESSIVE CARE UNIT
BEAUMONT, TX 77701
(409) 212-7303
1356744478 JESSICA ELAINE PLUNKETT FNP-C
Individual
Nurse Practitioner (Family)3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-5000
1265971691BAPTIST HOSPITAL OF SOUTHEAST TEXAS
Organization
General Acute Care Hospital3080 COLLEGE ST
BEAUMONT, TX 77701
(409) 212-6087

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760214100, enumerated in the NPI registry as an "individual" on August 15, 2024

The provider is located at 3080 College St Beaumont, Tx 77701 and the phone number is (409) 212-5000

The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care

The provider has more than 3 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $83.8 with an average copayment of $20.95 for new patient appointments. Established patients should expect a typical charge of $95.83 and an average copayment of 23.95. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): ASCENSION SETON MEDICAL CENTER AUSTIN, BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK and ASCENSION SETON WILLIAMSON. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 15, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.