Mary Jackson, PA-C
NPI 1720216203 · Medical Physician Assistant · Baltimore, MD
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Jackson, PA-C is a Medical Physician Assistant provider in Baltimore, MD (NPI 1720216203).
Provider details
- NPI number
- 1720216203
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- C0003990 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-23
- Last updated
- 2015-01-02
Frequently asked questions
- What is Mary Jackson's NPI number?
- Mary Jackson's National Provider Identifier (NPI) is 1720216203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Jackson's specialty?
- Mary Jackson is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Jackson located?
- Mary Jackson's practice location on file with NPPES is 9000 Franklin Square Dr, Baltimore, MD 21237-3901.
- What is Mary Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mary Jackson is (443) 777-7046.
- Does Mary Jackson accept Medicare?
- Mary Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Jackson's NPI active?
- Yes — Mary Jackson's NPI (1720216203) is active in the NPPES registry as of the last update on 2015-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.