Active NPI
Cheryse Jackson, CRNP
- Family Nurse Practitioner
- Belcamp, MD
National Provider Identifier
1477007615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R204022
- Practice address
- 4690 Millennium Dr FL 3
Belcamp, MD 21017-1523 - Phone
- (443) 255-9527
- NPI assigned
- Aug 4, 2016
- Last updated
- Sep 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R204022 | MD | Primary |
Addresses
Primary practice location
4690 Millennium Dr FL 3
Belcamp, MD 21017-1523
Mailing address
409 Deer Hill Cir
Abingdon, MD 21009-1656
Phone (443) 255-9527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R204022 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries LLC | Past | Accepting new patients | |
| Jackson's Nurse Practitioner Housecalls LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
dba ExpressCare of Mount Airy
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1477007615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 DEER HILL CIR",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210091656",
"telephone_number": "443-255-9527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4690 MILLENNIUM DR FL 3",
"city": "BELCAMP",
"state": "MD",
"postal_code": "210171523",
"telephone_number": "443-255-9527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CHERYSE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R204022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belcamp, MD
- Hopeful Days Mental Health Services LLC
- Humanim Mental Health Services LLC (Humanim ABA Services Harford)
- Maureen A. Hutchinson, L.AC.; C.M.T.
- Integrahealth LLC
- Integrated Rehab Consultants LLC
- Kelly Marie Jenssen, LGPC
- Johns Hopkins Community Physicians (JHCP - 103 Bata Boulevard Ste A)
- Johns Hopkins University (JHCP at Waters Edge)
- Johns Hopkins University (JHU - 4692 Millennium Drive - Physician)
- Johns Hopkins University
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.