JACQUELINE REGINA ELBA (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1558863704

JACQUELINE REGINA ELBA (PMHNP-BC) is a healthcare provider. based in Woodbridge, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 0024175614 (VA). The NPI Number for JACQUELINE REGINA ELBA (PMHNP-BC) is 1558863704

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE REGINA ELBA (PMHNP-BC)
NPI
1558863704
Phone
Not provided
Address
2701 NEABSCO COMMON PL
Enumeration Date
5 March 2018
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003703651
Graduation Year
2017 (9 years ago)
PAC ID
6709131428
Group Practice PAC ID
5496650921
Professional Enrollment ID
I20181023000073
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for JACQUELINE REGINA ELBA (PMHNP-BC)

  • 2701 NEABSCO COMMON PL

    WOODBRIDGE, VA 221914185

    Phone:

    Type: Mailing

  • 4250 Fairfax Dr Ste 600

    Arlington, VA 222031665

    Phone: (202) 360-4787

    Fax: (202) 360-4787

    Type: Location

  • 8040 Georgia Ave Ste 170

    Silver Spring, MD 209104959

    Phone: (202) 360-4787

    Fax: (202) 360-4787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $335.

Total Amount is formed as General ($335) + Research ($0) + Ownership ($0) = $335.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Alkermes, Inc. ($184).

Total Amount

$335

General + Research + Ownership

Payments

16

Total payment records

General Amount

$335

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180621001058INurse PractitionerMDTBD
I20181023000073INurse PractitionerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes9612$0
99214Established patient office or other outpatient visit, 30-39 minutes8232$0
View full utilization report →

Insurance plans in this area (ZIP 22191)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496650921View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JACQUELINE REGINA ELBA (PMHNP-BC)?
Save NPI 1558863704 if you need a stable reference for JACQUELINE REGINA ELBA (PMHNP-BC).
Is JACQUELINE REGINA ELBA (PMHNP-BC) currently active in the NPI registry?
CMS-published data lists JACQUELINE REGINA ELBA (PMHNP-BC) as an active registrant.
Does JACQUELINE REGINA ELBA (PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for JACQUELINE REGINA ELBA (PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for JACQUELINE REGINA ELBA (PMHNP-BC)?
We surface Woodbridge, Virginia for JACQUELINE REGINA ELBA (PMHNP-BC) based on available NPPES addresses.
How can I contact JACQUELINE REGINA ELBA (PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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